Chronic Neuro Conditions
Dyskinesia characterized by rapid, jerky involuntary body movements & seen in Huntingdon's disease.
What is Chorea Movement?
L. side neglect, Loss of vision on left side- hemianophia, Impulsive high fall risk, L. side weakness
What is a Right CVA?
Right sided weakness, Aware of limitations, Aphasia, Agraphia- difficulty writting
What is Left side CVA?
BR, Hydration, Monitor inc. ICP & Droplet Airborne Precaution
What are nursing interventions to care for a Meningits patient?
Caused by uncontrolled HTN- s/s Thunder Headache, unconsciousness, blood in CSF, Tx- BP meds, monitor BP, Surgical coiling, metal clip
What is a Subarachnoid Hematoma?
Abnormal & excessive electrical discharges in the brain causing muscle contractions r/t fever, low NA, hypoxia, hypoglycemia, brain tumor, drug abuse, alcohol withdraw
What is Seizures?
Hallmark diagnostic test for Cauda Equina
What is a magnetic resonance imaging (MRI) scan?
Pain lasting 6hrs-2 days- Tx w/ IV fluids, Reglan (N/V), Ketorolac, no opioids, prophylactic BP meds and Botox injections
What is a Migraine?
Expected Tx-IV ABT, Antipyretics, Analgesics & Dexamethasone
• What drugs treat meningitis?
The part of the autonomic nervous system that prepares the body for rest.
What is parasympathetic?
Status Epilepticus – usually Tonic Clonic lasting longer than 5 minutes or recurrent
What is a medical emergency?
A priority nursing assessment for a lumbar puncture
What are bleeding and CSF leakage?
Resp distress, arrest, spinal shock, autonomic dysreflexia, decrease skin sensation, b and b impairment, skin breakdown, & resp infection
What are possible Spinal Cord complications?
Fever, Headache, Nuchal Rigidity, Opisthotonos, Bulging Fontanel, High pitch cry in infants, Photophobia, N/V
What are assessment findings of meningitis?
The part of the autonomic nervous system responsible for fight or fight
What is sympathetic?
Occurs over age 50, cause unknown, no muscle weakness, & tx is Levodopa to inc. Dopamine levels
What is Parkinson disease?
Elevate HOB 90 degrees, check irritants- full bladder, bowel impacted, tight clothes, shoes, skin issues
What is interventions to treat Autonomic Dysreflexia?
This is a colorless and odorless fluid that circulates through the ventricles in the brain and into the subarachnoid space.
What is cerebrospinal fluid?
Emergent life threatening post spinal injury-Inc. BP, decr. HR, flushing, diaphoresis above T6 injury, pale, cool, clammy, below injury & piloerection
What is Autonomic Dysreflexia?
S/S brief loss of consciousness & periods of lucidness, restless, confusion, agitation, rapid decline and coma
What is Epidural Hematoma?
Usual onset about 40 yrs old, hereditary degeneration of the basal ganglia, and chorea movement present A type of dyskinesia characterized by rapid, jerky involuntary body movements
What is Huntingdon Disease?
Bleeding from vein caused by fall, trauma, blood thinners, seen in alcoholics & elderly- watch closely for slow bleed, blood will usually reabsorb
What is a Subdural Hematoma?
Suicide headache, pain last 1-2 hrs. treat w/ high concentrations of O2, 15 Liters non-rebreather mask
What is Autonomic Trigeminal Cephalalgia?
Hemodynamic Circulatory changes- ABC, temp reg. issues (poikilothermal), Inc. BP and HR, immobilize cervical collar prior to log roll, & prevent DVT
What is Neurogenic spinal shock?
Immediate and temporary shock that is not circulatory in nature.
What is Spinal Shock?