NR 325 - Lecture Notes - Exam 222
Absence - ANS-brief loss of consciousness
Agnosia - ANS-inability to recognize familiar objects, tastes, sounds and other sensations
Alcohol Withdrawal Delirium - ANS-- usually occurs 30-120 hours after last drink
- peaks at 24-48 hours
- bed at 30 degrees
Alcohol Withdrawal Delirium: S/S - ANS-- shaking
- vomiting
- increased pulse and temperature
- sweating
Amnesia - ANS-memory loss
Anomia - ANS-inability to remember the names of things
Aphasia - ANS-inability to express oneself through speech
Apraxia - ANS-misuse of objects because of inability to remember them
Assessing Changes in Senile Dementia - ANS-Judgement
Affect
Memory
Cognition
Orientation
Astigmatism - ANS-blurred at any distance
Atonic - ANS-loss of muscle tone
Aural - ANS-initial part of the seizure, lasting for seconds just before the seizure begins
B VS V: Culture - ANS-B: Positive
V: Negative
B VS V: Glucose - ANS-B: <40
V: >45
B VS V: Gram Stain - ANS-B: Positive
, V: Negative
B VS V: Leukocyte Count - ANS-B: 1000-5000
V: 50-1000
B VS V: Leukocyte Differential - ANS-B: Neutrophils
V: Lymphocytes
B VS V: mmH2O - ANS-B: 200-500
V: <250
B VS V: Protein - ANS-B: 100-500
V: <200
Bell's Palsy - ANS-- forehead doesn't wrinkle
- eye ball rolls up
- eyelid does not close
- flat nasolabial fold
- paralysis of lower face
Bell's Palsy Treatment - ANS-- corticosteroids
- antivirals
- full recovery in 6ish months
Best Motor Response - ANS-6- obeys commands
5- moves to localized pain
4- flexion withdrawal from pain
3- abnormal flexion
2- abnormal extension
1- no response
Best Verbal Response - ANS-5- time, place and person
4- confused
3- inappropriate words
2- incomprehensible sounds
1- no response
Brain Abscess - ANS-an accumulation of pus within the brain tissue that can result from a local
or a systemic infection from another source, such as the skull, sinuses, or other structures in the
head.
Brain Abscess: Interventions - ANS-- prevent ICP
- neuro checks
- fluid and electrolytes
Absence - ANS-brief loss of consciousness
Agnosia - ANS-inability to recognize familiar objects, tastes, sounds and other sensations
Alcohol Withdrawal Delirium - ANS-- usually occurs 30-120 hours after last drink
- peaks at 24-48 hours
- bed at 30 degrees
Alcohol Withdrawal Delirium: S/S - ANS-- shaking
- vomiting
- increased pulse and temperature
- sweating
Amnesia - ANS-memory loss
Anomia - ANS-inability to remember the names of things
Aphasia - ANS-inability to express oneself through speech
Apraxia - ANS-misuse of objects because of inability to remember them
Assessing Changes in Senile Dementia - ANS-Judgement
Affect
Memory
Cognition
Orientation
Astigmatism - ANS-blurred at any distance
Atonic - ANS-loss of muscle tone
Aural - ANS-initial part of the seizure, lasting for seconds just before the seizure begins
B VS V: Culture - ANS-B: Positive
V: Negative
B VS V: Glucose - ANS-B: <40
V: >45
B VS V: Gram Stain - ANS-B: Positive
, V: Negative
B VS V: Leukocyte Count - ANS-B: 1000-5000
V: 50-1000
B VS V: Leukocyte Differential - ANS-B: Neutrophils
V: Lymphocytes
B VS V: mmH2O - ANS-B: 200-500
V: <250
B VS V: Protein - ANS-B: 100-500
V: <200
Bell's Palsy - ANS-- forehead doesn't wrinkle
- eye ball rolls up
- eyelid does not close
- flat nasolabial fold
- paralysis of lower face
Bell's Palsy Treatment - ANS-- corticosteroids
- antivirals
- full recovery in 6ish months
Best Motor Response - ANS-6- obeys commands
5- moves to localized pain
4- flexion withdrawal from pain
3- abnormal flexion
2- abnormal extension
1- no response
Best Verbal Response - ANS-5- time, place and person
4- confused
3- inappropriate words
2- incomprehensible sounds
1- no response
Brain Abscess - ANS-an accumulation of pus within the brain tissue that can result from a local
or a systemic infection from another source, such as the skull, sinuses, or other structures in the
head.
Brain Abscess: Interventions - ANS-- prevent ICP
- neuro checks
- fluid and electrolytes
