Mdc 4 Exam 1 Final Graded A

1. Patient interventions for Complications from spinal cord injuries: Auto- nomic dysreflexia, paralysis Breathing issues 2. FAST for Bells palsy: F- Face/ does the persons face look uneven A- Arm weakness S- Speech difficulty T- Time to call 911 3. What cervical level of injury requires ventilation: C3 and higher 4. What life threatening condition happens with paraplegia: Autonomic dysre- flexia Skin break down Infection 5. Patient education for Complications from spinal cord injuries: 6. How do you prevent ICP?: Elevate HOB, Keep head midline, 02 above 94% 7. What causes ICP?: Head trauma Infection Increased CSF Hemorrhage Tumors 8. Assessment findings for intracranial pressure: Headache Shallow breathing Nausea confusion Increased blood pressure 9. Anything blow you need to : 8 Intubate for ICP 10. Patient education after head injuries: Reduce ICP Post-op infections Straight up and down No alcohol (bleeding) 11. What medications are used to prevent migraines: Preventive -Beta Blocker -Calcium channel blockers 12. What medications are used to aborb migraines?: Tylenol Ibuprofen Triptans for severe HA Ergotamine Midrin 13. How do Preventive drugs for migraines work: These aid in preventing vascular changes and are used to manage, not treat acute episodes 14. How do abortive drugs for migraines work: Help stop a migraine from coming on 15. Dietary education for prevention of migraines: AVOID things such as: ETOH Tyramine high foods Caffeine Chocolate Foods with yeast MSG Nitrates Artificial sweetener Smoked foods 16. What is the action of migraine medication: Vasoconstriction 17. What causes Migraine Pain: Vasodilation 18. Patient education for prevention of migraines: Avoid triggers Do yoga Relaxation Meditation Decrease stimulation during acute episode 19. Ictal phase Nursing care: Observe and document time of seizure and length Do not restrain patient but protect them from injury Maintain airway with O2 and suction Turn to prevent aspiration 20. Postictal phase Nursing care: Monitor for LOC, Orientation, & Motor ability to return to baseline More than 10 minutes can be fatal 21. status epilepticus: After 5 min if continuous episodes patient is treated as , 30 min or more of seizure activity will result in neurological consequences 22. signs of tonic-clonic seizure: stiffening & jerking 23. patient education of seizures: Take drugs on time Take AED as prescribed (good Oral hygiene and Oral contraceptive barrier) 24. Nursing interventions for seizures: Nothing in mouth Turn on side Maintain airway Loosen restrictive clothing, Record time of seizure 25. Treatment for Myasthenia Gravis: Anticholinesterases (ChE first line) Immunosuppressants Plasma parisis 26. What condition has IGG therapy: Myasthenia Gravis 27. Patient intervention for myasthenia gravis: Avoid extreme heat and cold Avoid infection. Monitor for cholinergic crisis and myasthenic crisis 28. Assessment findings for myasthenia gravis: New onset weakness Limitations on ADL Drooping eyes (Ptosis) Double vision (Diplopia) Dysphagia (difficultly chewing or swallowing) 29. Hall mark finding for Myasthenia Gravis: Progressive muscle weakness Weakness starts proximal to distal Patient gets weak from the core first. Shoulders get weak before hands 30. Inverventions for multiple sclerosis: Increase Exercise Increase Vitamin D Memory boosting programs Decrease salt use