What problem is characterized by unilateral pain in the lips, gums, cheeks or forehead?
How is it triggered?
Chewing, Touching face, Talking, Hot/Cold Exposure
What are the anti-seizure drugs for trigeminal neuralgia?
- Carbamazapine (Tegretol)
- Gabapentin (Neurontin)
What are you monitoring for?
Bone marrow suppression
Sedation, Decrease LOC, Gait instability, Anemia
Bell's Palsy is a unilateral paralysis of what cranial nerve?
VII (Facial Nerve)
Typical recovery time?
- Pain behind ear
- Inability to close eye/facial droop
What are the drugs to treat Bell's Palsy?
- Acyclovir (Zovirax)
- Valacyclovir (Valtrex)
- Famiciclovir (Famvir)
Guillain-Barre Syndrome is inflammation of _______ and is a cell-mediated immune reaction triggered by ______, ______, ______.
- Viral Infection
Guillain-Barre Syndrome causes _______.
Guillain-Barre Syndrome progression:
The main complication with Guillain-Barre Syndrome?
What are the two main things to monitor for with Guillain-Barre Syndrome?
Swallowing and nutrition
What is the difference between primary and secondary injury of the spinal cord?
Primary - Initial disruption of the cord
Secondary - Damage from ischemia, inflammation, toxic metabolites and edema
Spinal vs. Neurogenic Shock
Spinal - Decreased reflexes and flaccid paralysis BELOW level of injury
- Neurogenic - Loss of vasomotor tone from sympathetic disruption
- (Causes bradycardia and hypotension)
Central Cord Syndrome characteristics
- Motor weakness and sensory loss
- Usually cervical
- Upper extremity loss > lower extremity loss
Anterior Cord Syndrome characteristics
- Loss of motor function
- Pain and temperature sensaiton below injury
- Sensation, touch, position and vibration intact
Brown-Sequard Syndrome characteristics
- Unilateral cord damage
- Ipsilateral loss of motor, position and vibratory sense
- Contralateral loss of pain and temperature below injury
Posterior Cord Syndrome characteristics
Loss of proprioception below injury
What syndrome is damage to the lowest portion of cord and lumbar or sacral nerve roots?
What high dose drug prevents secondary damage to the cord?
During emergent care, why do we need to maintain the MAP of 80-90?
What is used to maintain it?
To keep BP up to perfuse the cord
Any injury above C4 requires ________
What problem is a
stimulus below lesion causes a n u n o p p o s e d r e f l e x s y m p a t h e t i c s t i m u l a t i o n ?
A 36y/o male has been admitted to the neuro unit for Guillain-Barre Syndrome. Which assessment should the nurse make?
A) Respiatory Rate and Effort
The nurse is preparing to administer Methylprednisolone (Solu-Medrol) to a patient with an acute spinal cord injury. The patient ask what the medicaiton is for. The nurse responds
C) To decrease the inflammatory response and prevent secondary cord damage