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This is the nurses’s first priority when receiving an acute stroke patient for evaluation
Assess ABC
This is the cerebral perfusion pressure if the ICP is 25, systolic BP is 110 and diastolic BP is 50.
45 – There will be a calculation on test
MAP = [Systolic + (2x Diastolic)] /3
MAP = (110 + 2x50)/3
MAP = (110 + 100)/3
MAP = 210/3 = 70
CPP = MAP - ICP
CPP = 70 - 25
The nurse should check these two lab tests for a seizure patient on carbamazepine (Tegretol)
CBC and Tegretol level
These are the priorities of care for the patient with delirium
Identify underlying cause and protect from injury
Patients with autonomic dysreflexia will complain of this symptom and these are the actions the nurse should take
Elevate head of bed
Take BP
Remove underlying cause
Neurogenic shock results in these vital sign changes
Bradycardia and Hypotension
This the MOA for cholinesterase inhibitors in the treatment of Alzheimer’s disease
Makes more acetylcholine available in the brain
These nursing interventions will limit increases in intracranial pressure
Elevate HOB
Neck midline
Avoid hip or knee flexion
Limit coughing or suctioning
This test is used to emergently differentiate ischemic and hemorrhagic stroke
Non-contrast CT
This is the priority assessment for a patient with myasthenia gravis
Respiratory status
This cardiac problem increases the risk of embolic stroke
A-fibrillation
This test is used to differentiate cholinergic and myasthenic crisis
Tensilon test
These are the two most common causes of delirium
Medication toxicity and infection
This is the priority assessment for the patient with Guillain-Barre Syndrome
Respiratory rate and effort
This will be the earliest sign of ICP?
Change in LOC
****EXAM****
This cause of confusion should only be diagnosed after reversible causes have been ruled out
Alzheimer’s dementia
This drug is used to prevent secondary cord damage after acute spinal cord injury
Methylprednisolone (Solumedrol)
Parkinson’s disease results from a deficiency of this neurotransmitter and is treated with this drug
Dopamine and Sinemet
This therapy can be given for ischemic stroke within 3 hours
tPa
This electrolyte abnormality will worse elevated ICP
Hyponatremia
This cause for confusion has an abrupt onset and altered LOC
Delirium
The most significant risk factor for stroke
Hypertension
This disease results from demyelization in the brain and spinal cord
Multiple sclerosis
These are the two variables that effect CPP
ICP and MAP
This disease results in facial droop and a palsy of this cranial nerve
Bell’s Palsy and Cranial Nerve VII
Author
wiscflor
ID
12054
Card Set
Neuro Jeopardy
Description
NJ
Updated
2010-03-26T17:28:23Z
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