topics
3250 Exam 3 concepts J We got this guys!!!!!
:
Understand TIA symptoms
• Aphasia, ataxia, headache, visual disturbances
• Symptoms will resolve on their own
• WARNING SIGN!!! Puts you at a higher risk for getting a
stroke.
Communication strategies with aphasia
• Board to write out needs, be vocal and front with them
• Use short phrases that are easy to communicate
• Be patient with people who have trouble speaking, give
them more time to explain themselves
Understand nursing care related to Left and right hemianopsia
• Right hemianopsia pt will need tray placed on the left side,
counter clock wise.
Understand left and right hemispheric stroke deficits
• Left hem stroke > pt will be aware and be depressed, speech
is impaired greatly, impaired comprehension.
Know Hemorrhagic stroke sequalae
• Things that occur after a stroke, motor impairment from a
stroke is determined by flaccidity
• Flaccidity > decrease or absences of muscle tone in affected
area
Understand criteria for thrombolytic therapy
• In order to qualify for thrombolytic therapy pt must have CT
scan within 3-4 hours of first intial signs/symtpoms of TIA.
• Remember a TIA always indicates an Ischemic stroke!!!!
Nursing measures for ICP *things we can do as nurses without
an order*
, • Turn off the lights, hyperventilation
• Raising the bed, decrease stimulus
Priorities in the postictal stage of a seizure *general seizure*
• Monitor airway
• Symptoms resemble post anesthesia
Priorities during a seizure
• Pre-Ictal phase > monitor the trigger, aura, circumstances
• Ictal phase > During the ictal phase our patients safey is top
priority, do NOT restrain. Move hazardous objects out of
the way. Monitor seizure characteristics like LOC, type,
and length
• Post Ictal phase > AIRWAY is most important, emotional
support, pt will most likely be out of it mentally.
Status Epilepticus medication choice
• LOARAZEPAM is the first line drug choice.
• A seizure lasting more than 5 minutes or at intervals of Q30.
• If a patient is left in the status epilepticus stage for to long
we become worried about breathing and respirations.
Parkinsons clinical manifestations
• Skeletal rigidity, autonomic nervous system > dopamine
lacking disease
• Lack fluidity in movement
• Excessive drooling
• Decreased blinking causing eye dryness
patient-teaching points for:
Parkinsons > PT is at high risk for falls so we make sure to
educate them and advise them to get up slowly toa void
orthostatic hypotension, Bell Palsy > advise pt to keep eyes
moisturized, trigeminal neuralgia > ask pt to be gentle with their
face because being to rough can trigger nerve to flare up, post op
stapedectomy,
Meniere’s disease
3250 Exam 3 concepts J We got this guys!!!!!
:
Understand TIA symptoms
• Aphasia, ataxia, headache, visual disturbances
• Symptoms will resolve on their own
• WARNING SIGN!!! Puts you at a higher risk for getting a
stroke.
Communication strategies with aphasia
• Board to write out needs, be vocal and front with them
• Use short phrases that are easy to communicate
• Be patient with people who have trouble speaking, give
them more time to explain themselves
Understand nursing care related to Left and right hemianopsia
• Right hemianopsia pt will need tray placed on the left side,
counter clock wise.
Understand left and right hemispheric stroke deficits
• Left hem stroke > pt will be aware and be depressed, speech
is impaired greatly, impaired comprehension.
Know Hemorrhagic stroke sequalae
• Things that occur after a stroke, motor impairment from a
stroke is determined by flaccidity
• Flaccidity > decrease or absences of muscle tone in affected
area
Understand criteria for thrombolytic therapy
• In order to qualify for thrombolytic therapy pt must have CT
scan within 3-4 hours of first intial signs/symtpoms of TIA.
• Remember a TIA always indicates an Ischemic stroke!!!!
Nursing measures for ICP *things we can do as nurses without
an order*
, • Turn off the lights, hyperventilation
• Raising the bed, decrease stimulus
Priorities in the postictal stage of a seizure *general seizure*
• Monitor airway
• Symptoms resemble post anesthesia
Priorities during a seizure
• Pre-Ictal phase > monitor the trigger, aura, circumstances
• Ictal phase > During the ictal phase our patients safey is top
priority, do NOT restrain. Move hazardous objects out of
the way. Monitor seizure characteristics like LOC, type,
and length
• Post Ictal phase > AIRWAY is most important, emotional
support, pt will most likely be out of it mentally.
Status Epilepticus medication choice
• LOARAZEPAM is the first line drug choice.
• A seizure lasting more than 5 minutes or at intervals of Q30.
• If a patient is left in the status epilepticus stage for to long
we become worried about breathing and respirations.
Parkinsons clinical manifestations
• Skeletal rigidity, autonomic nervous system > dopamine
lacking disease
• Lack fluidity in movement
• Excessive drooling
• Decreased blinking causing eye dryness
patient-teaching points for:
Parkinsons > PT is at high risk for falls so we make sure to
educate them and advise them to get up slowly toa void
orthostatic hypotension, Bell Palsy > advise pt to keep eyes
moisturized, trigeminal neuralgia > ask pt to be gentle with their
face because being to rough can trigger nerve to flare up, post op
stapedectomy,
Meniere’s disease
