Have you got nerve
All in my head
Movement
Brain attack
Impact
100
Acute benign cranial polyneuritis caused by inflammation of Cranial Nerve VII (facial nerve). What are symptoms and treatment?
What is bell's palsy? Flaccidity of affected side of face, including mouth, inability to close eyelid, raise eyebrow, pain and sensitivity to cold and drafts. Treatment: Corticosteroids, antiviral medication (Acyclovir), warm compresses, chew on unaffected side, artificial tears. psychosocial support.
100
Increasing systolic BP with widening pulse pressure, bradycardia, irregular respirations. What does this indicate?
What is cushing's triad? ICP rising to lethal levels which may lead to herniation of brain tissue,
100
Triad of symptoms associated with Parkinson's disease includes:
What is What is tremors, bradykinesia and rigidity.
100
Bleeding into the space between the arachnoid and pia mater. What are causes and symptoms?
What is a subarachnoid hemmorhage, cause: rupture of cerebral aneurysm symptoms: sudden severe headache, neurologic deficits, nausea, vomiting, seizure, stiff neck.
100
Treatments and nursing interventions for increased ICP include
Elevate HOB,maintain adequate O2, treat fever, prevent hypothermia and shivering, treat pain, maintain proper body alignment, decrease stimulation, maintain quiet calm environment. Meds: mannitol, hypertonic saline, steroids, PPI or H2 receptor blockers (pepcid),avoid hypotonic fluids
200
A rapidly progressing potentially fatal form of polyneuritis characterized by ascending systemic paralysis which can affect peripheral nervous system and cranial nerves. What are the most serious complications?
What is What is Guillian-Barre syndrome? Respiratory failure.
200
Damage to this area of the cerebrum may result in: alteration in understanding of written and oral communication
What is What is the temporal lobe?
200
Patients with this type of seizure are at great risk of head injury. What are nursing considerations?
What is atonic (drop attack) seizure? Patient safety, should wear helmet.
200
3 categories of ischemic stroke. How do they differ?
What is TIA, thrombic stroke, embolic stroke? TIA transient episode of neurologic dysfunction without acute infarction. Thrombotic occurs from injury to blood vessel nd formation of blood clot which occludes the vessel. Embolic, embolus occludes blood vessel resulting in infarction.
200
Glasgow coma score measures? _________ is the highest score. score of _____ or below indicates coma
What is measures opening of the eyes, best verbal response, best motor response, 15, 8.
300
Irritation of 5th cranial nerve which causes sensory changes and excruciating stabbing pain to cheek, gums, forehead on affected side. What are treatments and nursing interventions?
What is trigeminal neuralgia? CT scan, MRI, Analgesics and antiepileptic medications, nerve blocking, avoid triggers such as chewing on affected side, yawning, excessive talking, massage, eat soft foods.
300
Damage to this area of the brain may result in changes in coordination of voluntary movement and equilibrium.
What is the cerebellum?
300
Treatment for a patient with continuous clonic tonic seizure activity includes:
What is managing airway, patient safety, administration of IV Ativan or Valium, followed by antiseizure medication.
300
Single most important diagnostic tool for patients who have experienced stroke symptoms.
What is a non contrast CT scan.
300
Loss of respiratory function occurs with spinal cord injury in which area.
What is at or above C4 vertebrae.
400
Characterized by sharp, burning pain around one eye, radiating to cheek or forehead, may include swelling around the eye. What are treatments and nursing interventions?
What is a cluster headache? Treatment: inhalation of oxygen at 6-8 l/min for 10-20 mins, triptan meds, analgesics, antiepileptic meds, lithium, nerve blocks ablation procedures. Nsg interventions: pt education regarding symptoms, use and SE of medictions
400
6 factors which affect ICP
What is arterial pressure, venous pressure, intraabdominal and intrathoracic pressure, posture, temperature, CO2 levels.?
400
The following statements about multiple sclerosis are true: A) The average life expectancy after onset of symptoms is 25 years. B)Women with MS have a high rate of infertility. C)MS symptoms may improve during and after pregnancy. D) Diagnosis of MS is based on specific blood tests.
What is A.
400
Drug therapy for a patient experiencing an ischemic stroke may include:
What is antiplatelet drugs, TPA, antiseizure medications. Discuss considerations for medications.
400
Syndrome which results from damage to one half of the spinal cord characterized by a loss of vasomotor function on the ipsilateral side, and a loss of pain and temperature sensation on the contralateral side.
What is Brown-Sequard syndrome?
500
Uncompensated cardiovascular reaction which may occur in patients with spinal cord injury, manifestations include hypertension, throbbing headache, diaphoresis above the level of injury, bradycardia. What are causes and nursing interventions?
What is autonomic dysreflexia? Elevate HOB,Monitor BP, identify causes which can include bladder distention, stool impaction, stimulation of skin, administer antihypertensive medications.
500
Symptoms of increased ICP include.
What is Change in LOC, VS, pupillary response, decrease in motor function, headache, nausea and vomiting
500
Autoimmune disease results in decreased ACh receptors which is characterized by muscle weakness of certain muscle groups. What is treatment nd nursing considerations
What is myasthenia gravis? Treatments: Anticholinesterase drugs (Mestinon), corticosteroids, immunosuppressants, NSG considerations: assess for muscle fatigue, respiratory function, muscle strength of face and limbs, swallowing nd speaking
500
Homonymous hemianopsia presents as
What is the loss of vision in one side of visual field? What are nursing considerations?
500
May occur with spinal cord injury: A) shock characterized by by decreased reflexes, loss of sensation, and paralysis below the level of injury. B)shock due to loss of vasomotor tone, loss of SNS innervation and causes peripheral vasodilation and venous pooling, characterized by hypotension and bradycrdia.
What is A) Spinal shock B) Neurogenic shock
M
e
n
u