Show:
Going for the Goal!
HUM...I'll have to think about that!
Diving for Gold!
I'll have to call on a friend!
I'll have to guess on this one!
100
GCS
What is best eye, best verbal, best motor
100
Vasospasm Rebleed Hydrocephalus
What are three potential complications of a SAH?
100
Manifestations of aphasia and inablility to remember words are a result of damage to this hemisphere of the brain
Left stroke
100
Osmotic diuretic used in increased ICP
What is Mannitol?
100
The most often noted herniation syndrome. A unilateral, expanding mass lesion, causing lateral displacement of the tip of the temporal lobe (uncus). Ipsilateral pupil dilation, decreased LOC, and can lead to dilated pupils and flaccidity, and respiratory arrest. OH my...this is a long question!
What is uncal herniation? YIKES...not a good sign...don't think...
200
0 to 15 mm
What is normal ICP pressure?
200
Calcium channel blocker that helps prevent the bad effects of vasospasms in a SAH.
What is Nimodipine?
200
Left homonymous hemianopia, quick and impulsive behavior, and neglect of the left side of the body
What is a result of right sided brain damage? See studyguide handout given in class, page 345.
200
Following a stroke, a patient is to start oral fluids and feedings. The nurse should be sure to do this.
What is checking the patient's gag reflex?
200
Hyponatremia may be seen in SAH patients. The AHA Stroke Council has strongly recommended the treatment for this problem not be fluid restriction. Oh My, what is one to do...especially recalling that hyponatremia may cause seizures!
What is sodium replacement with isotonic fluids?
300
Drains CSF and can assess ICP pressure as well as allows for one to collect and send CSF fluid to lab
What is a ventriculostomy drain?
300
Twisted vessels of arteries and veins.
What is a AVM?
300
CT without contrast
What is diagnostic test for stroke?
300
Treatment for uncontrolled intracranial hypertension that has not responded to the conventional treatments for increased ICP. Hypotension can result from peripheral vasodilation.
What is Nembutal? Barbiturate therapy, Urden p 375
300
Intracerebral, hemorrhage, and SAH
What are the 2 types of Hemorrhagic stroke?
400
Bradycardia, Systolic hypertension, Widening pulse pressure, slow respirations
What is Cushing's Triad?
400
Hemodilation, Hypertension, Hypervolemia
What is Triple H Therapy for SAH patients experiencing vasospasms
400
A patient with SAH is asked to close eyes and hold out arms with hands out during neuro assessment
What is "drift test"
400
Positioning, Hyperventilation, Temperature control, Blood pressure control, seizure control
What are medical and nursing mangement to decrease or control increased ICP?
400
A patient has had a witnessed ishemic stroke 2 hours ago. The nurse anticipates this treatment based on the history.
What is thromolytic therapy? rt-PA
500
Test for evaluating brain stem function in patients who are unconscious or comatose
What is oculocephalic (Doll's eyes)?
500
"Worst Headache Ever"
What is the classic sign of a SAH?
500
Subarchnoid bolt, epidural cathether, external ventricular drain / ventriculostomy
What are ICP monitoring devices?
500
Nonosmotic agent used to treat increased ICP.
What is furosemide (lasix)?
500
Doll's Eyes?
What is a test for intact brain stem functioning? If the patient deviates the eyes away from the direction the head is turned...a good thing...