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Intracranial Regulation
USD Nursing
42
Nursing
Undergraduate 4
11/30/2015

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Term
Intracranial regulation
Definition
Involves the mechanisms and conditions that affect intracranial processing and function
Term
Neurotransmission
Definition
Process of sending signals from nerve to nerve across a synapse.
Term
Neurotransmitter
Definition
Chemical that transmits signals from a neuron to a target cell
Term
Regulation
Definition
Maintenance of balance to promote an environment conducive to optima brain function.
Term
Increased intracranial pressure
Definition
Pathologic condition or trauma causes pressure within the cranial vault to increase
Term
Auto-regulation
Definition
Adjusts regional cerebral blood flow by changing the diameter of cerebral blood vessels. Allows the cerebral circulation to deliver a constant supply of blood despite fluctuations in systemic blood pressure.
Term
Who is at greatest risk for intracranial regulations problems?
Definition
Elderly, children, adolescents, and young adults
Term
Nomal ICP
Definition
<15 mm Hg
Term
Critical ICP
Definition
> 20 mmg Hg
Term
Early signs of IICP
Definition
Confusion, restlessness, headache, vomiting, purposeless movement, pupillary changes
Term
Physiology of seizures
Definition

Abnormal and excessive electrical activity in the brain.

Spontaneous electrical discharge by group of yper-excitable cells.

Term
Epilepsy
Definition
When seizures occur in a chronic, recurrent pattern, caused by a chronic underlying condition. Also defined as two or more unprovoked seizures that arise from abnormal electrical discharges in the brain.
Term
Newborn causes of seizures
Definition
Severe birth injury, congenital defecgts involving the central nervous system, infection, inborn errors of metabolism
Term
Childhood causes of seizures
Definition
Birth injury, CNS infection, trauma, genetic factors
Term
Causes of seizures for adults
Definition
Trauma, brain tumor, vascular disease
Term
Causes of seizures for elderly
Definition
Cerebrovascular lesions, brain tumors
Term
Partial Seizures
Definition

-Begin in a specific region of the cerebral cortex

-Area of involvement determines what the seizure is like

-May be confined to one side of the brain and remain partial or focal

-May spread to the entire brain ending in a generalized tonic-clonic seizure

Term
Simple Partial Seizures
Definition

-No loss of consciousness

-Rarely last longer than one minute

-Simple motor or sensory phenomena

-Also called focal motor seizures, focal sensory seizures or jacksonian seizures

Term
Complex Partial Seizures
Definition

-Complex symptoms

-Variety of emotional, behavioral, affective, and cognitve functions involved

-Usually last longer than one minute

-Followed by a period of postictal confusion

Term
Generalized seizures
Definition

-Bilateral and symmetric epileptic discharges in the brain

-Entire brain is affected at the start of the seizure

-No warning or aura

-Person loses consciousness for a few seconds to several minutes

Term
Grand mal seizures
Definition

-Also called tonic-clonic seizures

-Loss of consciousness, falling to the ground

-Tonic phase: muscle stiffening that alsts 10-20 secs.

-Clonic phase: lasts 30-40 secs, rapid jerking

Term
Grand mal seizures
Definition

-Person loses consciousness

-May see: excessive salvation, cyanosis, tongue or cheek biting, person will will be incontinent

-Postictal phase

Term
Postictal Phase
Definition

-Person is very tired

-Sore muscles

-May sleep for several hours

-No memory of the seizure

-Person may not feel well for several days after the seizure

-Embarrassment following the seizure

Term
Typical Absence Seizures
Definition

-Also called petit mal seizures

-Brief loss of consciousness, less than 15 seconds

-Signs of this type of seizure are subtle

-Generally occur only in children, rarely continuing beyond adolescence

Term
Typical Absence Seizures
Definition

-May clear as the child matures or may evolve into another type of seizure

-If untreated may occur up to 100 times per day

-Can be precipitated by hyperventilation and/or flashing lights

Term
Atypical Absence Seizure
Definition

-Type of generalized seizure

-Staring spell accompanied by: brief warning, peculiar behavior buring the seizure, confusion after the seizure

Term
Myoclonic Seizure
Definition

-Type of generalized seizure

-Sudden, excessive jerking of the body or an extremity

-Jerk may be forceful enough to knock the person to the ground

-Brief duration

-Occur in clusters

 

Term
Atonic Seizure
Definition
Loss of muscle tone
Term
Akinetic Seizure
Definition
Arrest of movement
Term
Astatic Seizure
Definition
Loss of balance
Term
Febrile Seizures
Definition

-Usually affect children between 6 months and 3 years of age

-Increased frequency in children younger than 18 months

-Usually not serious

-Treat with acetaminophen to lower fever

-One of the most common neurological disorders of childhood

Term
Antiepileptic Drug Therapy
Definition

-Therapy is aimed at preventing seizures

-Many seizure disorders cannot be cured

-May need to take drugs to control seizures for life

-Usually taken orally

-Metabolized in the liver, excreted by the kidneys

-Trend toward monotherapy (being with a single drug and increase the dose until seizures are controlled or toxic side effects occur)

Term
Monotherapy
Definition
Begin with a single drug and increase the dose until seizures are controlled or toxic side effects occur
Term
Status Epilepticus
Definition

-Potentially fatal, requires emergency care

-Grand mal seizures

-Last 10 minutes or see repeated seizures over 30 minutes

-Person is unconscious

-Most common cause: abruptly stopping medications

-Most serious complication of seizure disorders

Term
Battle's sign
Definition
Bruising behind the ear
Term
Raccoon sign
Definition
Darkening of peri-orbital area
Term
Euthymia
Definition
Normal non-depressed, reasonably positive mood
Term
Euphoria
Definition
A feeling or state of intense excitement and happiness.
Term
Apathetic
Definition
Showing or feeling no interest, enthusiasm, or concern.
Term
Dysphoria
Definition
A state of unease or generalized dissatisfaction with life.
Term
Decorticate
Definition
Flexion of arm, wrist, and fingers with adduction or upper extremities.
Term
Decerebrate
Definition
Lower extremities are extended, internally rotated and plantar flexed.
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