Strokes
What is Receptive Aphasia? Provide an example
What is when a person is able to communicate well but is unable to understand the messages received? A patient sticking their tongue out when asked to brush their hair.
What are some risk factors for strokes?
What is older age, female gender, hyperlipidemia, uncontrolled hypertension, uncontrolled diabetes, obesity, smoking, excessive ETOH use certain disease processes such as AFIB, Femur fractures ect?
What are factors that are likely to be the cause of MS?
What is environmental factors (illness, exposures) and genetics?
Provide Baclofen patient education.
What is Report any shortness of breath/respiratory concerns, do not drive operate machinery, avoid constipation by increasing fiber and fluids, may turn skin yellow?
What is appropriate nursing interventions for a patient with TN?
What is pain medication, soft bristle toothbrush, luke warm temp soft foods and liquids, protection from wind/cold?
What are nursing interventions for helping to assist a patient with eating after a stroke?
What is have suction nearby, no straws, double swallowing, place food on unaffected side of the mouth, High Fowlers position, period mouth checks for pocketed food?
What is permissive hypertension?
What is when a patient's blood pressure is purposefully kept elevated to salvage brain tissue?
What is the pathophysiology behind MS?
What is the demyelination and destruction of nerve fibers
What are manifestations of a cholinergic crisis?
SLUDGE
Water from every hole.
Remember increased bronchial secretions.
Who is at risk of developing Bells Palsy?
What is after having viruses such as HSV, Lyme's, Shingles, and women in their third trimester of pregnancy?
What type of stroke has the poorest outcomes, longest recoveries, and most patient deficits?
What is a Subarachnoid hemorrhage (SAH)?
What is expressive aphasia? Provide an example and intervention.
What is when a patient can understand messages but has difficulty speaking. Repeating the same word over and over. Using picture boards, having the patient write, eye blinks, thumbs up and thumbs down?
What are causes of GBS?
What is an autoimmune reaction to a virus or vaccine two weeks after exposure?
What is affected on a patient by ALS? What is not affected on a patient by ALS?
What is voluntary muscles- breathing, swallowing, walking, talking ect.?
What is the heart, GI system, and cognition?
How would a nurse know if the nursing interventions for a patient with TN are successful?
What is the patient can eat multiple small, soft, luke warm (meals) daily?
What is the time frame that TPA can be given within from stroke symptom onset?
What is 2- 4.5 hours?
What is agnosia? What is an intervention for a patient with it?
What is the inability to recognize things? What is present an item and repeat what the item is?
What medication is used for an acute severe attack (exacerbation) of MS?
What is Intravenous (IV) methylprednisolone?
What assessment is priority for a nurse to perform on a patient with MG?
What is respiratory function and swallowing ability?
What are Bells Palsy nursing interventions?
What are facial sling when eating, heat application, gentle message and PT, eye care with drops and eye patch as ordered?
What medication is given as treatment for an ischemic stroke?
What is Tissue-type plasminogen activator (tPA)?
What is F.A.S.T.? What are positive results?
Face- unsymmetrical
Arms- one arm drifts off to the side and downward
Speech- garbled, nonsense, not present
Time/Telephone- what time is it, call for help
What are MS triggers?
Should patients with MS garden?
What is extreme heat/cold, fatigue, infection,, stress, extreme exercise, hormonal changes?
What is no- immunocompromised?
A patient with MG is taking Neostigmine. How does this medication work?
What is Neostigmine makes more neurotransmitters available so that acetylcholine can stimulate your muscles to contract?
What nursing education and interventions can a nurse provide for a patient with Restless Leg Syndrome?
What is a regular exercise program, regular sleep routine, avoid alcohol, caffeine, and tobacco, medications and treatments?