Seize the Day!
This is the first-line medication for status epilepticus.
What is a benzodiazepine (e.g., lorazepam)?
This imaging is the first-line test for suspected stroke.
What is a non-contrast CT scan?
Name two (2) early signs of increased ICP
What is:
Decreased LOC
Restlessness
Confusion
Change in orientation
Headache
Visual disturbances
TPA is contraindicated in this type of stroke.
What is a hemorrhagic stroke (subarachnoid hemorrhage)?
This autoimmune disorder causes muscle weakness that worsens with activity.
What is myasthenia gravis?
This scale is used to assess severity of alcohol withdrawal.
What is the CIWA scale?
This procedure measures pressure inside the skull.
What is ICP monitoring?
This is the degree of which a patient's HOB should be elevated at all times with an increased ICP.
What is 25-30 degrees
A post-stroke patient received TPA 3 hours ago is admitted to the ICU. What two (2) precautions should the nurse implement for this patient to ensure safety?
What are:
Bleeding precautions
Aspiration precautions
This syndrome often follows infection and causes ascending paralysis.
What is Guillain-Barré syndrome?
How often are CIWA and Neurological assessments performed for a stable alcohol withdrawal patient?
What is four hours
This class of medication should be held prior to starting an Electroencephalography (EEG).
What is antiseizure or sedation medications.
This is the normal intracranial pressure (ICP) range in an adult patient.
What is 7-15
Sudden severe headache described as “worst of my life” suggests this type of stroke.
What is a hemorrhagic stroke (subarachnoid hemorrhage)?
This is the priority nursing assessment for a patient with Myasthenia Gravis (MG) and in crisis.
What is respiratory assessment (i.e. respiratory effort and rate)?
This is the most important question to ask an alcohol withdrawal patient when they decide to quit drinking.
What is: "When was your last drink?"
Remember: symptoms of alcohol withdrawal occur 6-8 hours after last drink
After this procedure, the patient should lie flat to prevent headache.
What is a lumbar puncture?
The triad of hypertension, bradycardia, and irregular respirations is known as this.
What is Cushing’s triad?
A patient with a new diagnosis of Atrial Fibrillation needs this medication to help prevent a stroke.
What is an anticoagulant:
Warfarin (Coumadin)
Eliquis
List all 5 elements of seizure precautions.
What is:
•Padded side rails
•Airway at the bedside
•Suction available at the bedside
•Oxygen Flow meter at the bedside
•Maintain a patent IV site
This score determines need for airway protection in neuro patients.
What is Glasgow Coma Scale ≤ 8?
After Mannitol administration, how would the nurse assess effectiveness of the medicaiton?
Place these steps of the stroke pathway in the correct order:
1. Infuse TPA
2. Obtain a head CT
3. Assess ABCs
4. Call a code stroke
5. Performed a thorough medication reconciliation
What is:
3, 4, 2, 5, 1
This medication class improves symptoms in myasthenia gravis.
What are Anticholinesterase Agents (like Donepezil [Aricept])