MSN377 EXAM 2 QUESTIONS WITH 100%
VERIFIED SOLUTIONS
What is the term for the brain tumor treatment system that is similar
to a port-a-cath and involves a catheter that feeds directly into the
tumor with access just under the skin of the skull? - ANSWER -Omaya
resevoir
What brain tumor treatment involves placing electrodes on the brain
delivering electrical impulses to disrupt repliccation of malignant
cells? - ANSWER -tumor treatment field
Which patients ge tthe tumor field treatment? - ANSWER -Patients
who have had chemo, surgery, radiation, and still have
recurrent/progressive tumor activity
Brain tumors, CNS infection/abscess, vascular abnormalities,
craniocerebral trauma, seizure disorder, and intractable pain are all
indication for what? - ANSWER -cranial surgery
How is a craniotomy performed? - ANSWER -Burr holed are drilled in
the appropriate shape
they are then joined together by incision
bone flap removed
what nursing management is important following cranial surgery? -
ANSWER -preventing and monitoring increased ICP
,-BP control
-POsiiton: HOB elevated 30
Frequent neuro checks (Q1)
Close monitoring of electrolytes and fluids
Monitor Urine output: risk for DI
-Admin Vasopressin
Sterile wound care
Monitor for clear drainage from surgical site: important to test for CSF
N/V management
Pain management
What is a primary spinal cord injury? - ANSWER -Cord compression
by bone displacemnts, interruption of blood supply, or traction.
Direct stretching or laceration to the sinal cord
,What is a secondary spinal cord injury? - ANSWER -Ongoing
progressive damage after the primary injury.
Ongoing ischemia, hypoxia, hemorrhage, and edema
Can take weeks or months to develop
What is an important consideration regardikng ischemia to the spinal
cord that is different than ischemia to other tissues/organs? -
ANSWER -Spinal cord has minimal ability to adapt to ischemia
What is the term for the temporary loss of rensation, reflexes,
thermoregulation, and flaccid paralysis below the level of injury in an
individual with an acute spinal cord injury?
How long can this temorary stunning of the spinal cord last? -
ANSWER -Spinal shock
Can last days to weeks
What is the term for the state of hemodynamic instability with loss of
SNS stimulation that results from and acute spinal cord injury? -
ANSWER -Neurogenic shock
How does neurogenic shock occur? - ANSWER -Acute spinalcord
injury results in loss of SNS stimulation.
this allows the PNS to funciton unopposed leading to: -MASSIVE
periferal vasodilation, leading to decreased tissue perfusion
-Decreased available O2 at the tissues
, -Venous pooling
-Hypotension
-Decreased preload, cardiac output
-Bradycardia
At what lspinal cord level does total loss od funciton of the
respiratory system occur with injury? - ANSWER -C4 and above
What effects can SCI have on the respiratry system? - ANSWER -
Respiratory insufficiency: less vital capacity and tidal volume
Hypoventilation
Increased risk for atelectasis, infection
Infective cough
Neurogenic pulmonary edema
What effects can a SCI have on the cardiovascular system? -
ANSWER -Decreased SNS activity, unopposed PNS/vagal activity
Bradycardia
VERIFIED SOLUTIONS
What is the term for the brain tumor treatment system that is similar
to a port-a-cath and involves a catheter that feeds directly into the
tumor with access just under the skin of the skull? - ANSWER -Omaya
resevoir
What brain tumor treatment involves placing electrodes on the brain
delivering electrical impulses to disrupt repliccation of malignant
cells? - ANSWER -tumor treatment field
Which patients ge tthe tumor field treatment? - ANSWER -Patients
who have had chemo, surgery, radiation, and still have
recurrent/progressive tumor activity
Brain tumors, CNS infection/abscess, vascular abnormalities,
craniocerebral trauma, seizure disorder, and intractable pain are all
indication for what? - ANSWER -cranial surgery
How is a craniotomy performed? - ANSWER -Burr holed are drilled in
the appropriate shape
they are then joined together by incision
bone flap removed
what nursing management is important following cranial surgery? -
ANSWER -preventing and monitoring increased ICP
,-BP control
-POsiiton: HOB elevated 30
Frequent neuro checks (Q1)
Close monitoring of electrolytes and fluids
Monitor Urine output: risk for DI
-Admin Vasopressin
Sterile wound care
Monitor for clear drainage from surgical site: important to test for CSF
N/V management
Pain management
What is a primary spinal cord injury? - ANSWER -Cord compression
by bone displacemnts, interruption of blood supply, or traction.
Direct stretching or laceration to the sinal cord
,What is a secondary spinal cord injury? - ANSWER -Ongoing
progressive damage after the primary injury.
Ongoing ischemia, hypoxia, hemorrhage, and edema
Can take weeks or months to develop
What is an important consideration regardikng ischemia to the spinal
cord that is different than ischemia to other tissues/organs? -
ANSWER -Spinal cord has minimal ability to adapt to ischemia
What is the term for the temporary loss of rensation, reflexes,
thermoregulation, and flaccid paralysis below the level of injury in an
individual with an acute spinal cord injury?
How long can this temorary stunning of the spinal cord last? -
ANSWER -Spinal shock
Can last days to weeks
What is the term for the state of hemodynamic instability with loss of
SNS stimulation that results from and acute spinal cord injury? -
ANSWER -Neurogenic shock
How does neurogenic shock occur? - ANSWER -Acute spinalcord
injury results in loss of SNS stimulation.
this allows the PNS to funciton unopposed leading to: -MASSIVE
periferal vasodilation, leading to decreased tissue perfusion
-Decreased available O2 at the tissues
, -Venous pooling
-Hypotension
-Decreased preload, cardiac output
-Bradycardia
At what lspinal cord level does total loss od funciton of the
respiratory system occur with injury? - ANSWER -C4 and above
What effects can SCI have on the respiratry system? - ANSWER -
Respiratory insufficiency: less vital capacity and tidal volume
Hypoventilation
Increased risk for atelectasis, infection
Infective cough
Neurogenic pulmonary edema
What effects can a SCI have on the cardiovascular system? -
ANSWER -Decreased SNS activity, unopposed PNS/vagal activity
Bradycardia
