Term
| An autoimmune disorder that antibodies produced by the Thymus gland attack efferent motor nerves? |
|
Definition
|
|
Term
| S/S of Myasthenia Gravis? |
|
Definition
- weakness of voluntary muscles
- problems chewing
- problems swallowing
- problems speaking
- Ptosis: drooping of the eye lids
- Diplopa: seeing double |
|
|
Term
| Diagnosing Myasthenia Gravis? |
|
Definition
| Tensilon Test: muscle tone is improved within 1 minute of injection; persists for 4-5 mins |
|
|
Term
| Treatment for Myasthenia Gravis? |
|
Definition
- anticholinesterase drugs: made with acetylcholine which helps muscle tone and increase acetylcholine production
- corticosteriods: change immune system and anticholinsterase
- Thymectomy
- Plasmapheresis |
|
|
Term
| Nursing interventions for Myasthenia Gravis? |
|
Definition
- anticholinergic 30min before meal to improve muscle strength
- soft diet and small meals
- monitor breathing patterns for hypoxia
- turn and repositioning q2h |
|
|
Term
| Loss of motor coordination caused by cerebral damage, mental functioning may vary? |
|
Definition
|
|
Term
| What are the four stages of cerebral palsy? |
|
Definition
- Spastic: spasms with movement
- Athetoid: continuous involuntary movements
- Ataxic: uncoordinated movements
- Mixed: combination of spastic and athetoid |
|
|
Term
| Treatment for cerebral palsy? |
|
Definition
|
|
Term
| Referred to as a "Stroke", occurs when there is a disturbance in blood supply to the brain? |
|
Definition
| Cerebrovascular Accidents (CVA) |
|
|
Term
| This kind of stroke is caused by lack of blood supply to the brain? |
|
Definition
|
|
Term
| This kind of stroke is caused by bleeding in the brain? |
|
Definition
|
|
Term
| Nonmodifiable risk factors for strokes? |
|
Definition
- more common in men
- more common in African Americans
- more common after the age of 50
- more common if there is a family history |
|
|
Term
| Modifiable risk factors for strokes? |
|
Definition
- Hypertension
- DM 2
- Cardiac Disease
- Cigarette Smoking
- Obesity
- High Fat Diet
- Drug Abuse |
|
|
Term
| Temporary neurologic deficit caused by impairment of cerebral blood flow? |
|
Definition
| Transient Ischemic Attack (mine strokes) |
|
|
Term
|
Definition
- dizziness
- momentary confusion
- loss of speech
- loss of balance
- Tinnitus: ringing in the ear
- Visual disturbance
- Drooping mouth
- Weakness
- Tingling or numbness on one side of the body
- Dysphagia |
|
|
Term
|
Definition
- Antiplatelets: aspirin
- Anticoagulants
- Carotid Endarterectomy: removes plaque
- Transluminal Angiography: putting in a stint |
|
|
Term
| S/S of a hemorrhagic stroke? |
|
Definition
- occurs suddenly
- severe headache
- stiff neck
- loss of consciousness
- vomiting
- seizures |
|
|
Term
|
Definition
- appears w/o notice
- one-sided weakness
- numbness
- visual problems
- confusion
- memory loss
- headache
- dysphagia
- language problems |
|
|
Term
| A pt can't understand words? |
|
Definition
|
|
Term
| Pt has difficulty expressing words? |
|
Definition
|
|
Term
| The inability to speak clearly? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| The partial inability to initiate coordinated voluntary motor acts? |
|
Definition
|
|
Term
| Defined as paralysis of one side of the body? |
|
Definition
|
|
Term
| Inability to feel touch, pain, or temp in affected body part? |
|
Definition
|
|
Term
| Do not recognize one side of the body belonging to them? |
|
Definition
|
|
Term
| Perceptual problem: involves loss of one side of field of vision? |
|
Definition
|
|
Term
|
Definition
- blood studies: arteriosclerosis
- ECG: atrial fib
- CT/MRI |
|
|
Term
| Acute phase treatment for a stroke? |
|
Definition
This continuous until VS are stable.
- hypertension
- oxygenation
- hyperthermia
- hyperglycemia
- indwelling cath |
|
|
Term
| Drug therapy for acute phase for a stroke? |
|
Definition
- clot busters: has to be given within 3 hours of first symptoms
- diuretics: decrease ICP
- anticonvulsants: if seizuring
- Antiplatelets
- Anticoagulants: only for ischemic strokes |
|
|
Term
| Nursing care during acute phase stroke? |
|
Definition
- neuro checks
- turn q2h
- watch for increase ICP
- VS |
|
|
Term
| Cincinnati Pre-Hospital Stroke Scale? |
|
Definition
- pt is asked to show teeth
- pt is asked to close both eyes and hold both hands straight out for 10 sec
- pt is asked to repeat a simple phrase |
|
|
Term
|
Definition
- Cervical
- Thoracic
- Lumbar
- Sacral |
|
|
Term
| Spinal injuries involve damage to skin and meninges? |
|
Definition
|
|
Term
| Spinal injuries where the spinal cord covering remains intact? |
|
Definition
|
|
Term
| High cervical spine injures: loss of motor and sensory function in all 4 extremities? |
|
Definition
|
|
Term
| Injuries at or below T2 may cause paralysis of the lower part of the body? |
|
Definition
|
|
Term
| Injuries at C1-C4 results in? |
|
Definition
| Instant death: nerves that control respiration are interrupted |
|
|
Term
| Injuries at C5 or below result in? |
|
Definition
| May not die but impairments of intercostal and abdominal muscles, may be on a vent |
|
|
Term
| An immediate response to injury in which reflex activity below level of the injury temporarily ceases? |
|
Definition
|
|
Term
| Exaggerated response of autonomic nervous system to painful stimuli? |
|
Definition
Autonomic Dysreflexia
- biggest trigger is distended bladder |
|
|
Term
| S/S of autonomic dysreflexia? |
|
Definition
- hypertension
- pounding headache
- flushed
- red blotches
- sweating
- nasal stuffiness
- nausea
- bradycardia
- piloerection: goose bumps
- cold, clammy skin |
|
|
Term
| Muscles spasms that are very painful after a spinal cord injury, can last up to 2 years? |
|
Definition
|
|
Term
| Effects of spinal cord injuries? |
|
Definition
- impaired sensory and motor function
- impaired bladder function
- impaired bowel function
- impaired temp regulations
- impaired sexual function
- impaired skin integrity |
|
|
Term
| Treatment for spinal cord injuries? |
|
Definition
- open airway : jaw-thrust method
- give 100% of O2 by mask
- ET tube
- Immobilization
- Medrol: given first 8 hours |
|
|
Term
| Removing all or part of the posterior arch of the vertebra? |
|
Definition
|
|
Term
| Placing a piece of donor bone into area between the involved vertebra? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Inability to feel touch, pain, or temp in affected body part? |
|
Definition
|
|
Term
| Do not recognize one side of the body belonging to them? |
|
Definition
|
|
Term
| Perceptual problem: involves loss of one side of field of vision? |
|
Definition
|
|
Term
|
Definition
- blood studies: arteriosclerosis
- ECG: atrial fib
- CT/MRI |
|
|
Term
| Acute phase treatment for a stroke? |
|
Definition
This continuous until VS are stable.
- hypertension
- oxygenation
- hyperthermia
- hyperglycemia
- indwelling cath |
|
|
Term
| Drug therapy for acute phase for a stroke? |
|
Definition
- clot busters: has to be given within 3 hours of first symptoms
- diuretics: decrease ICP
- anticonvulsants: if seizuring
- Antiplatelets
- Anticoagulants: only for ischemic strokes |
|
|
Term
| Nursing care during acute phase stroke? |
|
Definition
- neuro checks
- turn q2h
- watch for increase ICP
- VS |
|
|
Term
| Cincinnati Pre-Hospital Stroke Scale? |
|
Definition
- pt is asked to show teeth
- pt is asked to close both eyes and hold both hands straight out for 10 sec
- pt is asked to repeat a simple phrase |
|
|
Term
|
Definition
- Cervical
- Thoracic
- Lumbar
- Sacral |
|
|
Term
| Spinal injuries involve damage to skin and meninges? |
|
Definition
|
|
Term
| Spinal injuries where the spinal cord covering remains intact? |
|
Definition
|
|
Term
| High cervical spine injures: loss of motor and sensory function in all 4 extremities? |
|
Definition
|
|
Term
| Injuries at or below T2 may cause paralysis of the lower part of the body? |
|
Definition
|
|
Term
| Injuries at C1-C4 results in? |
|
Definition
| Instant death: nerves that control respiration are interrupted |
|
|
Term
| Injuries at C5 or below result in? |
|
Definition
| May not die but impairments of intercostal and abdominal muscles, may be on a vent |
|
|
Term
| An immediate response to injury in which reflex activity below level of the injury temporarily ceases? |
|
Definition
|
|
Term
| Exaggerated response of autonomic nervous system to painful stimuli? |
|
Definition
Autonomic Dysreflexia
- biggest trigger is distended bladder |
|
|
Term
| S/S of autonomic dysreflexia? |
|
Definition
- hypertension
- pounding headache
- flushed
- red blotches
- sweating
- nasal stuffiness
- nausea
- bradycardia
- piloerection: goose bumps
- cold, clammy skin |
|
|
Term
| Muscles spasms that are very painful after a spinal cord injury, can last up to 2 years? |
|
Definition
|
|
Term
| Effects of spinal cord injuries? |
|
Definition
- impaired sensory and motor function
- impaired bladder function
- impaired bowel function
- impaired temp regulations
- impaired sexual function
- impaired skin integrity |
|
|
Term
| Treatment for spinal cord injuries? |
|
Definition
- open airway : jaw-thrust method
- give 100% of O2 by mask
- ET tube
- Immobilization
- Medrol: given first 8 hours |
|
|
Term
| Removing all or part of the posterior arch of the vertebra? |
|
Definition
|
|
Term
| Placing a piece of donor bone into area between the involved vertebra? |
|
Definition
|
|
Term
|
Definition
|
|
