NUR 401: WEEK 7 Spinal Cord injuries and Seizures Exam full solution packxam Questions and Answers 2024

NUR 401: WEEK 7 Spinal Cord injuries and Seizures Administration of Tirilazad Mesylate ? - Administered for 48 Hours. Post - Injury is a vasopressor agent (Vaso Constrictor). Maintains mean arterial pressure to improve perfusion to spinal cord. After a seizure conduct a post octal exam - Ask questions to help pinpoint where brain miscue occurred check if patient recognizes objects ( hold pen and ask what it is for) As where they are and what day of week it is. as patient to say their name, snap fingers and touch their nose ask patient to move their left or right hand up and down to determine if they mix them up Give them two words to remember and recite later on. Evaluate speech, sensory abilities and motor skills. Akinetic ? Atonic ? Astatic ? - Arrest of Movement Loss of Tone Loss of Balance Anti-seizure drugs and discontinuation ? - Should never be discontinued abruptly. This can make seizures worse. Atypical Absence seizure ? - Staring spell with other s/s. Peculiar behaviour during seizure Confusion after Cauda Equina injuries? - L2 or below Para paresis/Plegia Lower Motor Neuron signs Thigh flexion is almost always preserved to some degree Causes of SCI ? - Motor crashes 39% Violence 25% Falls 22% Sports Injuries 7% Other 7% Clinical manifestations of a generalized seizure ? - No warning or Aura as entire brain is affected Loss of consciousness from seconds to minutes Bilateral Synchonous epileptic discharged. Collaborative Care assessments for those with SCI? - Sensory Examination Brain Injury MSK Injuries Damage to Internal Organs Monitoring of Respiratory, Cardiac, Urinary and GI Function's Collaborative Therapy ? - Drugs therapy to prevent seizures. Stabilize Nerve cell membranes and prevent spread of epileptic discharge. 70% controlled with medication. Monitor drug serum levels Neurologica assessment: Testing for Nystagmus, hand and gain coordination, cognitive functioning, general alertness Outside of CNS effects: Rash, Hyperplasia of gingiva, blood dycrasias, liver and kidney effects Surgery: Removal of epileptic Focus or prevent spread of Epileptic activity in brain . Usually removal of one lobe ( Usually temporal)., cortex, or separation of two hemispheres. = Corpus Callostomy. Vagal Nerve Stimulation: gives intermittent stimulation to brain to reduce frequency and intensity of seizures. Common causes of Epilepsy after 50 ? - Cerebrovascular lesions metastatic brain tumors 75% of seizures are idiopathic Common causes of epilepsy during the first 6 months of life ? - Severe Birth injury congenital defects involving CNS Infections Metabolisms errors Common causes of Epilepsy from age 2 -20 ? - Birth injury Infection Trauma Genetic Factors Common causes of Epilepsy from age 20 -30 ? - Structural lesions - Brain Tumors - Trauma