Alterations in Neuro function

Headaches

100

What medication is used for the onset of a cluster headache or Migraine?

Triptan

200

What environment is appropriate for a client suffering from a headache or Migraine

Dim lights, quiet environment, cluster treatments, low sensory

300

Diagnostics

CSF analysis, spinal tap, lumbar puncture, CT scan, MRI, CBC, cultures

400

Foods/ Beverages to avoid

Foods containing nitrates or tyramine, cold cuts, pickles, peanuts, caffeine, wine

500

Triggers

Head trauma, strong odors, hormones, bright lights, changes weather, stress, skipping meals

Seizures

100

Tonic vs clonic

Tonic = stiffenening of limb or neck

Clonic = jerking of muscles

200

what type of seizure effects both sides of the brain

Generalized

300

Triggers

Bright lights, beeping monitors (sounds), excess screen time, infection (meningitis + encephalitis), head trauma, genetics, medications, tumors, withdrawal

400

Safety Considerations DURING seizure

Remove tight clothing from neck, clear the environment, if possible lay flat on floor

500

Postictal Phase

After seizure takes place, client may be confused, neuro assessment (LOC)

CVAs

100

Best bed position for Cerebral Edema & why

Bed elevated 30-45 degrees w/ proper neck alignment for CSF drainage

200

Hemorrhagic Stroke common cause

Ruptured Aneurysm (females), arteries, blood vessel leaks or ruptures causing increased ICP

300

MAJOR difference between TIA vs Stroke

TIA resolves completely and does NOT cause RESIDUAL neurological manisfestations

400

2 causes of ischemic stroke

Thrombotic cause- clot in cerebral artery

Embolic cause- emboli traveling from a different part of body 

500

Keep stroke client NPO until?

Speech therapist evaluates swallowing ability (dysphagia)

headtrauma

100

Concussion Causes

MVA, physical abuse, sports, lacerations/wounds from impact, occupational hazards, high risk behaviors

200

Risk for Subdural Hematoma

MVAs, Blunt trauma, Penetrating injuries, Blast injuries, high risk behaviors, Older adults (risk for falls)

300

TBIs GSC scores (mild, moderate, severe)

Mild concussion = 13-15

Moderate injury = 9-12

Severe injury = less than 8

400

TIA big "DO NOT"

NO TPA

500

Concussion Complication (emergent)

Symptoms last longer than 4 weeks = possible subdural hematoma

Surprise

100

Parkinsons manifestations

garbled/slurred speech, stooped gait, tremors, ataxia, aphasia, aphagia, propulsive gait, slow shuffling, inablity to control Gi & GU, (neuro manifestations)

200

Parkinson's Patho

Degenerative progressive condition caused mainly by gradual loss of cells in substantia nigra of the brain

causes dopamine-producing nerve cells of substantia nigra to stop functioning =

300

Peripheral Neuropathy Complications

Burns, falls, infections, foot ulcers, impaired sleep, neuropathic pain, foot drop, stress, anxiety, impaired mobility, loss of motor function, thermoregulation, incontinence (GI+GU), Gi upset, sexual dysfunction

400

Subdural Hematoma - Acute, subacute, chronic Time frame

Acute: Occurs immediately

Subacute: occurs days later

Chronic: Occurs weeks later

500

Risk factors Peripheral Neuropathy

DM, occupational hazzards, autoimmune diseases, chemo therapy, inherited disorders, shingles, lupus, tumors, smokers, chemical toxicity