NUR 265 Exam 3
Study online at https://quizlet.com/_hntfmg
1. What is encephalitis?: inflammation or infection of the brain
2. What causes encephalitis?: West Nile Virus
Herpes
3. What are the s/s of encephalitis?: High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
4. What is used to dx encephalitis?: lumbar puncture
EEG
CT (looks for mass)
5. What are N/I for encephalitis?: Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
6. What is the tx for encephalitis?: acyclovir
7. What are complications from encephalitis?: ICP that leads to herniation of brain tissue or death
8. What is myasthenia gravis?: Autoimmune disorder that is characterized by weakness in the muscles
9. What causes myasthenia gravis?: lack of Ach receptor sites, leads to lack of nerve impulses
10. What are s/s of myasthenia gravis?: difficulty holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
11. How is myasthenia gravis diagnosed?: tensillon test.
s/s improve with Edrophonium .
12. How does edrophonium work?: w/in 30-60sec of 1st dose, most show lots of improvement, lasts
4-5mins
13. What are n/i for myasthenia gravis?: assess adls, speech & facial weakness
resp support
, NUR 265 Exam 3
Study online at https://quizlet.com/_hntfmg
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
14. What is tx for myasthenia gravis?: plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
15. What is cholinergic crisis?: too much cholinesterase inhibitor drug
16. What are s/s of cholinergic crisis?: fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
17. What is tx for cholinergic crisis?: atropine
DO NOT GIVE ANTICHOLINESTERASE
18. What is myasthenic crisis?: too little cholinesterase inhibitor drug
19. What is the priority with myasthenic crisis?: resp function
20. What are s/s of myasthenic crisis?: increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
21. What time should ChE inhibitor be given?: 45-1hr before meals to avoid aspiration
22. What can tensilon test cause?: cardiac dysrhythmias, have atropine on hand
23. What is nursing priority with myasthenic crisis?: maintain airway, may require to intubate
24. What is Guillain-Barre?: an uncommon acute inflammatory disorder that affects axons and/or myelin
sheath (neurons can't impulse)
25. where does Guillain Barre Syndrome start: -Starts in feet and hands (numbness, tingling)
26. What are causes of Guillain Barre?: bacterial infection
influenza
epstein barr
zika
27. What are s/s of guillain barre?: loss of reflexes
hypotension
labile BP
, NUR 265 Exam 3
Study online at https://quizlet.com/_hntfmg
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
28. What are complications from guillain barre?: resp & cardiac problems
decreased mobility, DVTs
29. What is tx for guillain barre?: plasmapheresis asap
IV immunoglobulin if can't do plasma right away
30. What do you NOT want to give w/ guillain barre?: CORTICOSTERIODS
31. What are n/i with guillain barre?: priority is airway
monitor abgs
monitor cardiac
monitor for resp distress
pt/ot for immobility
mech vent if needed
interdisciplinary tx
32. What is SCI?: loss of motor function, sensory perception reflex activity, and bowel and bladder control
33. What are causes of SCI?: vehicle crashes
falls
acts of violence
sport-related accidents
34. What are primary causes of SCI?: hyperflexion
hyperextension
axial loading or vertical compression
excessive rotation
penetrating trauma
35. What are s/s of SCI?: bradycardia
hypotension
Study online at https://quizlet.com/_hntfmg
1. What is encephalitis?: inflammation or infection of the brain
2. What causes encephalitis?: West Nile Virus
Herpes
3. What are the s/s of encephalitis?: High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
4. What is used to dx encephalitis?: lumbar puncture
EEG
CT (looks for mass)
5. What are N/I for encephalitis?: Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
6. What is the tx for encephalitis?: acyclovir
7. What are complications from encephalitis?: ICP that leads to herniation of brain tissue or death
8. What is myasthenia gravis?: Autoimmune disorder that is characterized by weakness in the muscles
9. What causes myasthenia gravis?: lack of Ach receptor sites, leads to lack of nerve impulses
10. What are s/s of myasthenia gravis?: difficulty holding up head or brushing teeth
double vision
ptosis
dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
11. How is myasthenia gravis diagnosed?: tensillon test.
s/s improve with Edrophonium .
12. How does edrophonium work?: w/in 30-60sec of 1st dose, most show lots of improvement, lasts
4-5mins
13. What are n/i for myasthenia gravis?: assess adls, speech & facial weakness
resp support
, NUR 265 Exam 3
Study online at https://quizlet.com/_hntfmg
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
14. What is tx for myasthenia gravis?: plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
15. What is cholinergic crisis?: too much cholinesterase inhibitor drug
16. What are s/s of cholinergic crisis?: fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
17. What is tx for cholinergic crisis?: atropine
DO NOT GIVE ANTICHOLINESTERASE
18. What is myasthenic crisis?: too little cholinesterase inhibitor drug
19. What is the priority with myasthenic crisis?: resp function
20. What are s/s of myasthenic crisis?: increase HR, RR, BP
decrease u/o
no cough or swallow reflex
dry
21. What time should ChE inhibitor be given?: 45-1hr before meals to avoid aspiration
22. What can tensilon test cause?: cardiac dysrhythmias, have atropine on hand
23. What is nursing priority with myasthenic crisis?: maintain airway, may require to intubate
24. What is Guillain-Barre?: an uncommon acute inflammatory disorder that affects axons and/or myelin
sheath (neurons can't impulse)
25. where does Guillain Barre Syndrome start: -Starts in feet and hands (numbness, tingling)
26. What are causes of Guillain Barre?: bacterial infection
influenza
epstein barr
zika
27. What are s/s of guillain barre?: loss of reflexes
hypotension
labile BP
, NUR 265 Exam 3
Study online at https://quizlet.com/_hntfmg
muscle weakness or paralysis (decreased DTR)
numbness
ataxia
blurred or double vision
palpitations
pain
tachycarida
28. What are complications from guillain barre?: resp & cardiac problems
decreased mobility, DVTs
29. What is tx for guillain barre?: plasmapheresis asap
IV immunoglobulin if can't do plasma right away
30. What do you NOT want to give w/ guillain barre?: CORTICOSTERIODS
31. What are n/i with guillain barre?: priority is airway
monitor abgs
monitor cardiac
monitor for resp distress
pt/ot for immobility
mech vent if needed
interdisciplinary tx
32. What is SCI?: loss of motor function, sensory perception reflex activity, and bowel and bladder control
33. What are causes of SCI?: vehicle crashes
falls
acts of violence
sport-related accidents
34. What are primary causes of SCI?: hyperflexion
hyperextension
axial loading or vertical compression
excessive rotation
penetrating trauma
35. What are s/s of SCI?: bradycardia
hypotension
