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Neuro Check
Brief assessment used to evaluate the neurological status of a patient
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Alzhimers
neurological disease; cerebrocortex starts to degenerate& brain atrophy
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Incidence for Alzheimers?
usually 65+
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Dx Test
- -History & Symptoms
- -No specific test
- -Autopsy & biopsy is the only way to be positive you have it
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Symptoms of Alzheimers
- -short term memory lost fat
- -sundown syndrome
- -wander
- -incontinence
- -personality changes
- -seizures
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Parkinsonism
Effects brain cells which control movement; progressive loss of muscle control
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Pathology of Parkinson
Deficience in dopamine (help control body movement)
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Symptoms of Parkinson
- -Shaky (tremor) hands but decrease with purposful movement
- -Usually dont have tremors when sleep
- -Muscles are very riit, arms normally fixed and stiff
- -Can't swollow salivia, drool
- -Face is mask like
- -Blink every one in awhile
- -Stooped posture, very little movement
- -Difficulty iniating movement
- -propulsive gait (fast walking)
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ICP
Increased Cranial Pressure
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What is ICP cause by
too much blood, fluid in skull
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Assessment for ICP
-Neuro check every 15mins to 1hr
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Signs and Symptoms
- -Decrease in LOC
- -Pulse usually fast then slow
- -Unstable Temp.
- -Kussmaul Respiration
- -Periods of Apnea
- -Projectile Vomitting
- -Unequal Pupils
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Treatmean for ICP
- Depends on casue
- *Craniotomy
- *Craniectomy
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Braini Tumor
Abnormal amount of tissue in the brain
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Gliomia
When cance originate in brain
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Matatisis
When cancer spread from primary site
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Metestatic cancer
where i didnt start but ended up
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Symptoms of Brain Tumor
Classic Triads
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Treatments for Brain Tumor
- Depends on location
- *radiology
- *craniotomy
- *craniectomy
- *kemotheraphy
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Nursing Intervetions for brain tumor
(pre-op)
- *emotional support
- *no narcotic drugs
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Nursing interventions
(post-op)
- -Neurocheck every half hour or as ordered
- -Check for bleeding & straw colored blood
- -let pt and family know what to expect
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Conscious
respose immediate and appropreiate to visual, auditory and other stmuli
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Somnolence or lethagy
can be aoused but response is slow. Falls asleep easily
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Stupor
requires vigorous stimulation to arouse; restless - tries to remove stimuli' never fully awake
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Semi-Coma
responds only to mild painful stmiuli
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Coma
Cannot be aroused except by very painful stimuli if at all
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Babanski
Scrap bottom of foot
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PERRLA
Pupils Equal Round Reactive to light accomadation
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Lumbar Puncture
Needle goes btw two lumbar vertebrae
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Akinesia
Loss or impairment of the power of voluntary movement
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