During the postictal period (after a seizure) the client will be ____________ and ______________.
Clients can also have an _____ before a seizure.
Confused; Drowsy page 539
aura
Motor dysfunction, Sensory dysfunction, problems of coordination, mental changes, and fatigue
What is Multiple Sclerosis?
What is Bell Palsy?
Maintain the airway
There are no laboratory tests to diagnose this disorder but due to the decline in respiratory function ABGs should be monitored.
What is ALS?
Tremor, Bradykinesia, Rigidity
What is Parkinson's Disease?
The acronym used to identify stroke
What is FAST?
Facial drooping
Arm Weakness
Speech difficulty
Time to call 911
The following signs and symptoms indicate which disorder?
Sudden fever, severe and persistent headache, nuchal rigidity, exaggerated deep tendon reflex, irritability, positive Brudzinski sign, positive Kernig sign.
What is Bacterial Meningitis?
What isolation precautions do you use for BM?
Droplet
What is ALS?
Weakness of voluntary muscles, especially of the distal muscles of the extremities p576
tPA must be administered within ___________ hours of the onset of symptoms
When would you not administer tPA (or any other blood thinning agents)?
3-4.5
page 548
If there is a known risk of bleeding or an intracerebral bleed. (hemorrhagic stroke)
What are the nursing interventions for a lumbar puncture?
497
This can occur any time the brain is deprived of oxygen
What is a seizure?
Mild sensations of numbness and tingling in the feet and hands followed by muscle pain, tenderness, and aching.
What is Guillain-Barre Syndrome?
Antibiotics/Antivirals
Dexamethasone
Anticonvulsants
Acetaminophen
Conserve pt strength, prevent seizures, promote healing, keep pt room dimly lit and quiet, Strict I&O's , IV fluids,
Due to intense nerve pain clients with this disorder should be taught to eat small frequent meals, consisting of food that is soft and moderately warm. p 563
What is Trigeminal Neuralgia?
Modifiable Risk Factors of Stroke p 543
Nonmodifiable Risk Factors of Stroke
CVA=Stroke
WARFARIN LEVELS
Diplopia, difficulty chewing and swallowing, ptosis
What is Myasthenia Gravis?
page 581 Patient teaching
READ THIS BOX
This should be assessed in the client with Myasthenia Gravis prior to every meal.
What is swallowing?
This is a side effect of spinal cord injury. S/S include sudden HTN, headache, sweating and flushing above the level of injury, pallor and goosebumps below the level of injury.
The following three late signs indicate ICP:
bradycardia, with full bounding pulse
rapid or irregular respirations
a widened pulse pressure.
What is the Cushing Triad? p520
Removing tight clothing from around the waist, removing compression socks, unkinking catheter tubing, and removing fecal impaction, are some things we can do to help with this disorder
What is autonomic dysreflexia?
p530
Injury to this section of the spine requires close monitoring of respiratory function.
What is the cervical spine?