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The Pons?
Known as "Bridge"
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The Vagus Nerve?
Supplies most organs in the Thoracic & Abdominal cavity
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Nursing interventions for reducing pressure to a head injury with s/s of ICP?
Place neck in neutral position to promote venous drainage
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What type of questions would you ask a patient with neurological problems?
"Can you describe" open ended questions
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What is most significant s/s of ICP?
Increased cranial pressure, Decrease in level of conciousness
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If a patient has ICP or suspected ICP, what test SHOULD NOT BE DONE?
Lumbar Puncture
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The Patient's inability to assess spatial position of his/her body?
Proprioception
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If a patient is having a myelogram to confirm presence of herniated intervertebral disk, what should be asked of the patient prior to testing?
Obtain allergy history before procedure
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A patient has trouble with choking when drinking thin fluids. What interventions would be helpful to instruct the patient to do when swallowing?
Tuck chin when swallowing
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Nursing interventions following a craniotomy to prevent ICP?
Elevate head of the bed to atleast 30 degrees
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The sleeping of long periods post seizure activity would be termed___________ ___________ period?
Postictal Period
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What are agnosia, apraxia, aphasia,and dysphagia? Focus on Agnosia
Total or partial loss of ability to recognize familiar objects
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Describe the symptoms of migraines?
Unusual smells or sounds before pain begins
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Prior to CT with contrast, Assess?
Ask about allergies
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Glascow coma scale assesses LOC in 3 major areas. They are?
Eye, Motor, Verbal
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Craniocerebral trauma may not exhibit s/s until?
Several days after the trauma
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Autonomic dysreflexia s/s are triggered by?
Bladder Distention
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The first assessment to be performed to a patient hitting their head and falling to ground unconscious would be?
Patency airway
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What is MS?
Results from demylination of Nerve Sheath
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S/S of the characteristics of Parkinsons?
Mask face, propulsive gate, muscle rigidity
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Plan care for a patient with aphasia?
Be very considerate of the type of aphasia & adapt communication accordingly
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Describe care for a patient with seizures?
Be certain padded siderails are present
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If a patient has right side hemiplegia, what side would you approach the patient?
Approach from the Left side
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Describe care for a patient with head injury that has drainage from the nose and ears?
Wipe, don't blow, or place anything in the ear
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What is Guillain Barre' Syndrome? What would a nurse monitor closely?
Respiratory
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To reduce a risk of being infected with West Nile Virus you should?
Wear Bug spray that contains DEET
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What is LP(lumbar puncture) and why is it performed?
To relieve Cerebral Spinal Fluid
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Can you teach an old dog new tricks, or and older aldult new skills?
YES!
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What is MG (myasthenis gravis)?
Autoimmune disorder, fluctuating weakness of certain muscle groups
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Best nursing intervention for restless patient with a head injury would be:
Position, pain or need to empty bladder
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What clinical malifestations might you see with Bell's palsy?
Inflammation of 7th cranial nerve, numbness, stiffness, drowning sensation of the face, unilateral weakness of face.
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Earliest sign of ICP?
Change in level of conciousness
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Therapeutic measure to reduce increased ICP?
Elevate head 30-40 degrees to promote venous return, place neck in neutral position
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What foods could make a headache worse?
Vinegar, chocolate, yogurt, cured sandwich meat, caffeine, pork, alcohol, fermented or marinated foods, ripened cheese
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Components of Cushing's?
Widened pulse pressure, increased systolic BP, bradycardia
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Nursing measures needed to feed a Hemiplegic patient:
- - check affected side of mouth for accumulation of food and results in poor hygiene
- - Dont mix liquid and solid food
- - Encourage Pt. to take small bites- Add THICK IT
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