Assessment
Intracranial surgery
Medications
Myasthenia Gravis
Multiple Sclerosis
100
The nurse obtains a Snellen eye chart when assessing the function of this cranial nerve.
What is CN II
100
A small degree of hypoxia may cause this after intracranial surgery.
What is cerebral ischemia?
100
Elevates the osmolarity of the glomerular filtrate, leading to a loss of water, sodium, and chloride.
What is mannitol?
100
Common clinical manifestations (2) related to the impairment of the transmission of impulses across the myoneural junction in myasthenia gravis.
What is diplopia and ptosis? (Others are dysphonia, dysphagia, and generalized weakness)
100
Most disabling symptoms of MS.
What is fatigue?
200
Patient reports severe pain in the face stimulated by brushing the teeth. Cranial nerve suspected of causing this.
What is V
200
Potential complications after intracranial surgery. (5)
What is seizures, increased ICP, bleeding, fluid and electrolyte disturbances, infection?
200
Adrenocrotical agent to help decrease the inflammation of the brain after trauma.
What is dexamethasone?
200
Stops the breakdown of acetylcholine, making more available at the neuromuscular junction. Gives diagnosis of myasthenia gravis.
What is Edrophonium chloride (Tensilon test)?
200
Involvement of the cerebellum or basal ganglia can produce this symptom?
What is ataxia and tremors?
300
Protective function but can be altered by trauma, cerebral edema, and cerebral hypoxemia. Be cautious when administering medications.
What is the blood-brain barrier.
300
Position to have patient in after supratentorial surgery.
What is on back or side with one pillow under the head. HOB may be elevated up to 30 degrees?
300
Anticholinesterase medication to treat myasthenia gravis.
What is Pyridostigmine bromide?
300
If ice test is positive, what outcome will occur?
What is Ptosis should temporarily resolve?
300
Specific studies used to diagnose MS.
What is evoked potential studies, electrophoresis of CSF, neruopsychological testing? Pg 2036
400
Syndrome associated with changes in LOC, altered vital signs, diaphoresis, agitation from hypothalmic stimulation of SNS.
What is sympathetic storm?
400
What to do when observing a sudden discharge of fluid from a cranial incision.
What is report immediately?
400
Reduces the transmission of impulses at certain nerve terminals in the treatment of this cranial nerve disorder.
What is Trigeminal Neuralgia?
400
Respiratory distress and varying degress of dysphagia, dysarthria, eyelid ptosis, diplopia, and prominent muscle weakness.
What is myasthenic crisis?
400
How to teach patients that are at risk for injury related to ataxia to walk.
What is Walk with feet apart to widen the base of support and increase walking stability? pg 2038
500
Parasympathetic effect of the rate and force of heartbeat.
What is decreased?
500
After transsphenoidal approach, client voids large quantities of clear urine and reports great thirst.
What is Diabetes Insipidus?
500
Used to reduce the spasms experienced by the patient with tetraplegia or paraplegia.
What is baclofen?
500
Crucial component of ongoing care in myasthenia gravis.
What is medication management?
500
Fatigue that interferes with ADL is treated with this.
What is amantadine? (Also pemoline, or dalfampridine) pg 2036
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