Seized by the day!
Amount of sleep after a seizure.
What is many hours?
Setting sun eyes, bulging fontanels, crying when held
What are signs and symptoms of increased intracranial pressure and hydrocephalus in an infant?
Three hours
What is the time from onset of symptoms to receiving antithrombolytics in a CVA?
Ketoralac, dihphehydramine, and odansetron.
What are the medications in a migraine cocktail? Also 1 liter of NS to be administered over one hour.
TRAP
What are
Tremor (unilateral pill roll)
Rigidity (fatigue and muscle cramps)
Akinesia/Bradykinesia (decreased dexterity)
Postural disturbances (shuffling gate)
Patient education for an EEG
List two.
What are lots of electrodes, clean hair free of conditioner/products, limit sleep 5 hours (adult) 7 hours (child), Lie still, hold: sedatives, anticonvulsants, ETOH, Caffeine
Positioning for a lumbar puncture.
What is in the fetal (curved) position or leaning over table?
Used to diagnose a a hemorrhagic versus embolic stroke?
What is a head CT?
Must be taken on onset of a migraine.
What is a serotonin receptor agonist (Sumatriptan -Imitrex)?
Dysphonia
What is hoarse voice?
Steps for monitoring for a seizure.
What is describe the seizure, time the seizure, assess for incontinence, and establish a level of consciousness during and after?
Treatment for childhood seizures.
Aggressive antipyretics.
Swallowing alterations after a stroke.
What are chin tuck, monitoring for pocketing, small bites, thickened liquids, and a speech therapy consult?
A headache due to neurovascular chemical imbalances in the brain with fatigue and stress as triggers.
What is a tension headache?
Protein, Vitamin B, and alcohol
What are foods to avoid on Cardidopa/Levadopa?
Three points related to patient teaching.
List three.
What are carry an ID, take anticonvulsant medication everyday at same time, avoid hazardous tasks, identifying triggers, don't stop medication?
Positive Brudzinki's, Kernig, Opisthotonic posturing, photophobia, irritable, restlessness, nuchal rigidity.
What are signs and symptoms of meningitis?
Times the NIH Stroke Scale is performed (provide three).
What are at baseline, 2 hours post treatment, 24 hours post onset of symptoms, 7-10 days after and three months after?
Unilateral facial changes, speech, difficulty swallowing and the inability to swallow with no other neurologic deficits.
What is Bell's Palsy?
Diet recommendations for Parkinson's Disease
What are thickened liquids, semi solid foods, small frequent meals?
Management of a seizure, list five steps.
What are:
Protect from injury, ease to floor, protect the head, remove the glasses, loosen clothing, clear the environment, administer O2, turn to side, Stop the seizure (administer meds)?
Nursing interventions for a patient undergoing placement of a shunt. Provide four.
What are: Avoid scalp veins, education of risk of infection, position on the non-pump side, monitor abdomen for distention, hourly neuro assessments, position head 20-30 degrees, educate on pump failure signs/symptoms?
Stroke rehabilitation. Provide three interventions.
Promote independence with velcro closures, assistive devices, communication boards, repetition, constant observer, room free of clutter.....
Risk factors for encephalitis.
List three
What are viral infection, chemical exposures, chemotherapy, imaging dyes, alcohol, immunosuppression.
Timing for exercise
What is timed with peaked drug action?