Peripheral Nerve and Spinal
Cause of trigeminal neuralgia
compressed blood vessels lead to chronic irritation of trigeminal nerve
Causes of epilepsy
uncontrolled electrical discharge
What is a TIA
transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction of the brain (sx last < 1 hour!!!)
Where is pain commonly located with a UTI
pain at costovertebral angle
What is occurring during chronic kidney disease?
uremia: build up of creatinine and other wastes in blood, elevated BUN and CR
What occurs with Bell's Palsy
inflammation of 7th CN, unilateral drooping of mouth
Dx of seizures
EEG, tests to r/o met. disorders, CT/MRI to r/o lesion or tumor
What is occurring in a thrombotic stroke
the process of clot formation (thrombosis) results in a narrowing of the lumen which blocks the passage of blood through the artery
What is the tx for acute pyelonephritis
IV ATB initially, then antipyretics, NO Tylenol, increase fluids
What is the stage of chronic kidney disease based on?
What is Botulism
most serious type of food poisoning (normally r/t improper canning)
TX of seizures
begin with SINGLE drug
What is occurring in a embolic stroke
an embolus is a blood clot or other debris circulating in the blood. when it reaches the artery in the brain that is too narrow to pass through it lodges there and blocks the flow of blood
What may be an indicator that your pt has acute post streptococcal glomerulonephritis
recent strep throat
What are some things that you assess for in a neuro assessment?
pupillary constriction, speech, consciousness, equal movement of extremities, grip strength, etc.
What is tetanus
stiffness in jaw/neck, tonic convulsions, caused by clostridium tentani
Conservative tx for restless leg syndrome
regular sleep hygiene, daytime exercise, avoid alcohol/caffiene
What is occurring in a hemmorhagic stroke
a burst blood vessel may allow blood to seep into and damage brain tissues until clotting shuts off the leak
What is found in the unite with chronic glomerulonephritis
protein and blood
How quick must tPA be administered within an ischemic stroke
within 3-4.5 hours
S/s of meningitis
memory changes, behaviors changes, LOC deteriorates, NUCHAL RIGIIDITY, positive Kernig (knee) and Brudzinksi's (neck) sign
What study should be done if restless leg syndrome is suspected
sleep study
What is the gold standard for a suspected stroke in the ED
CT CT CT
What is the cure for PKD? is it genetic?
yes, it is genetic, the cure is renal transplant
Nursing interventions for meningitis
abx STAT after cultures are obtained, dexamethasone before 1st abx dose (decreases mortality rate and reduces residual hearing loss)