Cerebral Vascular Disorders
What does TIA & CVA stand for?
Transient Ischemic Attach (TIA), Cerebral Vascular Accident (CVA)
A client is being discharged after a concussion, what MUST the family watch for in the client?
What drug is given immediately to stop the seizure?
Lorazepam
What is the assessment tool is used for Level of Consciousness (LOC)
Glascow Coma Scale (GCS)
Tension, Migraine and Cluster
Types of Headache?
What is priority in a client that has a TIA? What medication would you encourage?
Always talk about lowering risk. Such as cholesterol medication.
A client had surgery for increased ICP, what VS will the nurse report to the provider during Post-Op monitoring?
The temperature should not go over 99.8
What drug is given after lorazepam after a seizure? This drug is also given on an ongoing basis to control seizures.
Phenytoin
Is a concussion or a brain contusion more serious?
Contusion is more serious (A bruise that leads to structural injury on the brain)
Massaging the muscles to relieve this type of headache
Tension Headache
What does BEFAST stand for?
Balance, Eyes, Face, Arms, Speech, Time to call 911
What is the name and location of the skull fracture that is the priority patient?
Basilar Skull fracture, extremely dangerous, always a priority patient
What are 2 contraindication to phenytoin?
Pregnancy & sinus bradycardia
If a client is prescribed allopurinol for gout, what would be MOST important for the nurse to include in the teaching plan.
Liberal fluid intake
How to control and minimize the number of migraine attacks?
Identify or avoid factors that precipitate or intensify an attack
What type of stoke would you administer Tissue Plasminogen Activator (TPA) for?
Ischemic stroke
If surgery has to be performed on the spine, where would the bone be obtained from the fuse the vertebrae?
Iliac Crest
A client is experiencing status epilepticus, what is the priority nursing action?
IV lorazepam
In a client with cerebral aneurysm rupture, the nurse must prioritize and control WHAT to prevent further rupture of the aneurysm.
Nausea MUST be controlled, it is the nurses priority.
What are the definitions between an infarct and ischemia?
Infarct is tissue death caused by an obstruction, Ischemia is lack of oxygen to the tissue
What types of imaging can be done for a stroke patient to provide proper treatment?
CT or MRI
12 (C-7 T-12 L-5)
How long would it take the nurse to push 10 mg IV of diazepam?
2 minutes
How long must the nurse wait (in minutes) in between 2 different eye drop medications?
5-10 minutes