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Neuro Diseases
Exam 2
19
Nursing
Undergraduate 3
09/29/2018

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Cards

Term
Seizure def
Definition
Abnormal electrical discharges causing involuntary movement or behavior
Term
Focal seizures
Definition
(aka partial) Abnormal activity in one hemisphere or specific location
Term
Generalized seizure
Definition
Affects both hemispheres
Term
Bacterial meningitis def
Definition
Inflammation of meninges in brain
Term
Bacterial meningitis mostly caused by
Definition
Gram negative organism that spread to CNS from bloodstream which triggers the inflammatory response
Term
Bacterial meningitis sx general
Definition
Cerebral edema/ increased ICP
May impede flow of CSF
May cause SIADH
Term
Bacterial meningitis sx young infant
Definition
Hypothermia
Change in feeding pattern
V/DI
May be alert, restless, lethargic or irritable
Rocking will irritate the infant instead of comfort as it normally does
Term
Bacterial meningitis sx older children
Definition
Altered LOC
Vomiting
Muscle/joint pain
Rash
HA
Photophobia
Esotropia
Nuchal rigidity
Positive kerhig or Brudzinski sign
Term
Bacterial meningitis children are comforted in what position
Definition
Opisthotonic

Hyperextension of head and neck
Term
Bacterial meningitis therapy
Definition
Lumbar puncture for dx
ABX begins as soon as expected
NOP and IV fluits/electrolytes
Term
Bacterial meningitis Nursing interventions
Definition
Assess vitals/LOV
Measure head circumfrence in infants
Monitor ability to control secretions
Give fluids
Assess for sensory defecits
Reduced stimuli room
I/O's
Comfort
Side laying position
Term
Bacterial meningitis teaching for at home care
Definition
Teach what to do if a seizure occurs
Importance of follow up appoitments
Term
Viral meningitis common cause
Definition
enterovirus
Term
Child with Viral meningitis will appear
Definition
less ill than one with bacterial
Term
Viral meningitis sx
Definition
Abrupt onset of fever 100.4-104
HA/Photophobia
STIFF NECK/BACK PAIN
Myalagia
Irritability/lethargy
V/DI
MACULOPAPULAR RASH
Upper respiratory SX
Term
Viral meningitis nursing
Definition
Teach that seizures are rare
SX may resolve on own in 3-10 days
Supportive care
Acetaminophen or IBU to reduce fever, HA, joint pain
Decreased stimuli room
Promote comfort and proper positioning
Term
Reye Syndrome
Definition
Acute encephalopathy (brain inflammation) caused by liver toxic drug.

Interaction between viral illness and aspirin
Term
Reyes starts...
Definition
As a viral illness that seems to be resolving.
Leads to acute vomiting, LOC change, seizures and unresponsiveness.
Leads to flacidity, loss of DTR, respiratory arrest. Death
Term
Reyes labs will show
Definition
Edema, increased liver enzymes and ammonia. Prothrombin time prolonged. Decreased blood glucose. Bilirubin normal.
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