1-77 of 77
Pain syndromes: neuropathic pain
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- originates from pathology
- problem with nerve endings
- feels like walking on tacks
,Stroke (CVA)
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Ischemic stroke (85% of strokes)
- Transient ischemic attacks (TIA) "brain angina = chest pain"
- S/S clear in 24 hours (facial droop on one side, weakness on other)
Parkinson Manifestations
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- Tremor
- Rigidity
- Bradykinesia (slow movement)
- Loss of postural reflexes
- Autonomic system dysfunction
- Dementia
- Masklike facial expression
- Stooped forward
- Flexed elbows and wrists
- Hips and knees slightly flexed
- shuffling, short-stepped gait
Aerobic metabolism stopping pathway
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Less ATP produced
- NA+/K+ ATPase cannot run fast enough
- Intracellular Na+ increases
, - Cells swell with water -> lysis
- Swelling increase intracranial pressure which kills
Generalized Seizures
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- Involves both hemispheres
- Global sensation, can be whole body or just parts
- Sometimes incontinence
- Allow pts to flop around in bed
- Pad bed rails
S/S of Focal Seizures
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- Lip smacking, confusion, patting, fear, staring, slow to answer, rubbing
Steps of Pain management
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Assessment: nature, severity, location, radiation
Nonpharmacologic interventions
- Cognitive-behavioral, physical agents, stimulus-induced analgesia,
acupuncture/ acupressure
- Backrubs, TENS (transcutaneous electrical nerve stimulation),
biofeedback, distraction, relaxation
Pharmacologic treatment: nonnarcotics and narcotic analgesics
Pain syndromes: neuropathic pain
Give this one a try later!
- originates from pathology
- problem with nerve endings
- feels like walking on tacks
,Stroke (CVA)
Give this one a try later!
Ischemic stroke (85% of strokes)
- Transient ischemic attacks (TIA) "brain angina = chest pain"
- S/S clear in 24 hours (facial droop on one side, weakness on other)
Parkinson Manifestations
Give this one a try later!
- Tremor
- Rigidity
- Bradykinesia (slow movement)
- Loss of postural reflexes
- Autonomic system dysfunction
- Dementia
- Masklike facial expression
- Stooped forward
- Flexed elbows and wrists
- Hips and knees slightly flexed
- shuffling, short-stepped gait
Aerobic metabolism stopping pathway
Give this one a try later!
Less ATP produced
- NA+/K+ ATPase cannot run fast enough
- Intracellular Na+ increases
, - Cells swell with water -> lysis
- Swelling increase intracranial pressure which kills
Generalized Seizures
Give this one a try later!
- Involves both hemispheres
- Global sensation, can be whole body or just parts
- Sometimes incontinence
- Allow pts to flop around in bed
- Pad bed rails
S/S of Focal Seizures
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- Lip smacking, confusion, patting, fear, staring, slow to answer, rubbing
Steps of Pain management
Give this one a try later!
Assessment: nature, severity, location, radiation
Nonpharmacologic interventions
- Cognitive-behavioral, physical agents, stimulus-induced analgesia,
acupuncture/ acupressure
- Backrubs, TENS (transcutaneous electrical nerve stimulation),
biofeedback, distraction, relaxation
Pharmacologic treatment: nonnarcotics and narcotic analgesics
