CVA
Most effective way to decrease the burden of a stoke?
Prevention and teaching
Multiple Sclerosis is characterized by ___ and ___.
remission, exacerbations
Relief of tremor and rigidity in Parkinson's
Name the five types of urinary incontinence.
Stress, urge, overflow, functional, mixed
A nurse is caring for a pt w/DNI order in their chart. What actions can be taken if cardiac arrest occurs?
Chest compressions, defibrillation, administration of medications, and use of an external pacemaker if needed. A breathing tube can't be inserted.
90% of strokes are a result of?
Modifiable risk factors
Classic triad of Parkinson's?
Tremors, rigidity, bradykinesia
What's the intended therapeutic effect of donepezil?
May temporarily lessen some of the dementia associated with Alzheimer's; enhances cognition
What is the most common renal replacement therapy?
Hemodialysis
Pt has a hx of TIAs. Which med does the nurse expect to find in the pt's list of prescriptions? (Beta blocker, Antiplatelet, Anticoagulant, Stool softener)
Antiplatelet-Its purpose is to prevent clot formation w/the resulting vessel occlusion.
What does F.A.S.T. mean?
Face drooping, Arm weakness, Speech difficulty, Time to call 911
With myasthenia gravis, weakness tends to ___ with exercise and ___ with rest.
worsen, improve
Slows the progression of ALS and prolongs life or function?
Generic: riluzole; edaravone
Trade: Rilutek; Radicava
Cushing syndrome is a clinical condition that results from chronic exposure to excess?
Corticosteroids, particularly glucocorticoids
Which of the following is an early sign of dementia? (Wandering, Memory loss, Problem-solving, Difficulty speaking)
Memory loss-May be the first thing many pts and family members notice.
History of ___ is associated with an increased risk of stroke.
TIA (Transient Ischemic Attack)
Huntington's is caused by an excess of what?
Dopamine
Name three drugs from the slides that break down or lyse clots?
Generic: reteplase; alteplase; tenecteplase
Trade: Retavse; Activase; TNKase
Name at least three manifestations of acute thyrotoxicosis.
Severe tachycardia, HF, shock, hyperthermia, agitation, seizures, ab pain, v/d, delirium, coma
Maria has been dx'd w/a hemorrhagic stroke. Which of the following meds should be stopped immediately? (Vit D3, Lisinopril, Aspirin, Levothyroxine)
Aspirin-Discontinuation will decrease the severity of bleeding and risk for additional bleeding.
What are the types of strokes?
Ischemic and hemorrhagic
What's the role of the nurse when caring for a patient with Alzheimer’s?
Maintain cognitive function and promote independence for as long as possible.
What must be given within 3-4.5 hours of onset of clinical signs of ischemic stroke?
Recombinant tissue plasminogen (tPA)
Generic: alteplase
What's rhabdomyolysis?
Breakdown of skeletal muscle, release of myoglobin into blood
The nurse anticipates that a pt w/hyperglycemia may have which of the following complications as the liver begins compensating? (Osmotic diuresis, Insulin resistance, Gluconeogenesis, Polyphagia)
Gluconeogenesis-The liver converts stored glycogen to glucose to try to supply the cells with the needed glucose.