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MedSurg A (Neuro) Unit II/III
Care of the Client w/ Neurologic Diseases/Endocrine
45
Nursing
Not Applicable
09/22/2009

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Cards

Term
agnosia
Definition
the inability to recognize objects by sight
Term
aphasia
Definition
total loss of comprehension and use of language. Caused by left hemisphere stroke
Term
expressive aphasia
Definition
difficulty in speaking and writing
Term
receptive aphasia
Definition
neither the sounds of speech nor its meaning can be understood
Term
global aphasia
Definition
all communication and receptive function is lost
Term
apraxia
Definition
a neurological condition characterized by loss of the ability to perform activities that a person is physically able and willing to do.
Term
motor apraxia
Definition
inability to manipulate objects of perform purposeful tasks
Term
sensory apraxia
Definition
loss of ability to use an object due to lack of perception of its use
Term
ataxia
Definition
lack of muscle coordination during voluntary movements, such as walking or picking up objects
Term
aura
Definition
sensation of light or warmth or other sensation that may be a warning of an attack of a migraine or an epileptic seizure
Term
clonic
Definition
seizure begin with a loss of consciousness and sudden loss of muscle tone, followed by limb jerking that may or may not be symmetric
Term
cogwheel rigidity
Definition
muscle rigidity results in resistance to passive muscle stretching and may be uniform or jerky
Term
complex partial seizure
Definition
These may be very brief or last several minutes and are the most variable of all seizures. The person does not lose consciousness but loses awareness. He/she may ramble around, speak senselessly, and engage in some type of repetitive behavior. Aura often precedes this type of seizure.
Term
Confabulation
Definition
spontaneous production of false memories: either memories for events which never occurred, or memories of actual events which are displaced in space or time.
Term
dominant hemisphere
Definition
left hemisphere is dominant for language skills in right handed people and most left handed people. The cerebral hemisphere which is more concerned than the other in the integration of sensations and the control of voluntary functions.
Term
emotional lability
Definition
a condition of excessive emotional reactions and frequent mood changes
Term
hemiplegia
Definition
Paralysis affecting only one side of the body
Term
Ptosis
Definition
drooping upper eyelid
Term
Neuralgia
Definition
an intense burning or stabbing pain caused by irritation of or damage to a nerve. The pain is usually brief but may be severe. It often feels as if it is shooting along the course of the affected nerve
Term
pill rolling tremor
Definition
the thumb and forefinger appear to move in a rotary fashion as if rolling a pill, coin, or other small object. Frequently seen in Parkinson’s patients
Term
paresthesia
Definition
A skin sensation, such as burning, prickling, itching, or tingling, with no apparent physical cause
Term
Perseveration
Definition
persistent repetition of the same verbal or motor response to varied stimuli; continuance of activity after cessation of the causative stimulus
Term
propulsive gait
Definition
a stooped, rigid posture, with the head and neck bent forward
Term
status epilepticus
Definition
state of continuous seizure activity or a condition in which seizures recur in rapid succession without return to consciousness between seizures
Term
tic
Definition
a sudden, repetitive, nonrhythmic, stereotyped motor movement or vocalization involving discrete muscle groups
Term
tonic
Definition
seizure involves a sudden onset of maintained increased tone in the extensor muscles. These patients often fall
Term
tremor
Definition
a type of involuntary shaking movement
Term
CVA
Definition
Cerebrovascular accident- death of brain cells that occurs when there is ischemia to a part of the brain or hemorrhage into the brain
Term
TIA
Definition
Trans Ischemic Attack- a temporary focal loss of neurologic function caused by ischemia of the brain, lasting less than 24 hours, and often lasting less than 15 minutes
Term
dexamethasone
Definition
Decadron
antiasthmatic/corticosteroid
Action/Use: management of cerebral edema, diagnostic agent in adrenal disorders
Term
levodopa
Definition
Dopar
antiparkinson agent/dopamine agonist
Action/Use: converted to dopamine in the CNS, relief of tremor and rigidity in Parkinson’s
Term
phenytoin
Definition
Dilantin
antiarrhythmics, anticonvulsants/hydantoins
Action/Use: treatment/prevention of tonic-clonic seizures and complex partial seizures
Term
gabapentin
Definition
Neurontin
analgesic adjuct,anticonvulsant,mood stabilizer
Action/Use: decreased incidence of seizures, decreased post herpetic pain
Term
Antibiotoics
Definition
anti-infectives
Action/Use: treatment and prophylaxis of various bacterial infections.
Term
methylprednisolone
Definition
Solu-medrol
antiasthmatics/corticosteroids (short-acting systemic)
Action/Use: suppress inflammation and the normal immune response. Prevent organ rejection in transplantation surgery, asthma
Term
Acromegaly
Definition
a condition caused by excessive secretion of growth hormone characterized by an overgrowth of the bones and soft tissues
Term
Addison’s disease
Definition
an endocrine disorder that occurs when the adrenal glands do not produce enough of the hormone cortisol, and in some cases, the hormone aldosterone. AKA adrenal insufficiency or hypocortisolism
Term
Cushing’s syndrome
Definition
a group of abnormalities caused by an excess of glucocorticoids. Most common cause is administration of corticosteroids (prednisone)
Term
diabetes insipidus
Definition
lack of ADH - Anti diuretic hormone (vasopressin) w/o ADH replacement, pts will become fatally dehydrated
Term
euthyroid
Definition
the state of having normal thyroid gland function
Term
exophthalmus
Definition
When there is an increase in the volume of the tissue behind the eyes, the eyes will appear to bulge out of the face
Term
goiter
Definition
any visible enlargement of the thyroid gland
Term
Myxedema
Definition
a dry, waxy type of swelling (nonpitting edema) with abnormal deposits of mucin in the skin (mucinosis) and other tissues, associated with hypothyroidism; the facial changes are distinctive, with swollen lips and thickened
Term
Pheochromocytoma
Definition
a tumor of special cells (called chromaffin cells), most often found in the middle of the adrenal gland.
Term
SIADH
Definition
syndrome of inappropriate antidiuretic hormone secretion (SIADH), an abnormal condition characterized by the excessive release of antidiuretic hormone (ADH) that alters the body's fluid and electrolytic balances. It results in various malfunctions, such as the inability to produce and secrete dilute urine, water retention, increased extracellular fluid volume, and hyponatremia. SIADH develops in association with diseases that affect the osmoreceptors of the hypothalamus.
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