adult health II: exam 3
Evaluation for a stroke - ANS--A&O status
-*LOC* 1st thing to alternate- beginning w/ confusion
-students
-NIHSS (on admission, as ordered, with a alternate in condition, with transfers) (ataxia:
coordination: finger to nostril, language: pics, sensation, electricity, visible acuity)
-vitals (extended BP, reduced HR to compensate, reduced RR/irregular: if ICP is severely high)
-swallow take a look at/screening
reasons of hemorrhagic stroke - ANS--*HTN*
-trauma
-aneurysms (manipulate BP w/ known aneurysm)
-tumors
-drug abuse (stimulants: cocaines, amphetamines)
causes of meningitis - ANS--*micro organism*
-virus
-fungal
causes of seizures - ANS--meds/alternate in meds
-SSRIs (these meds lower seizure threshold: less difficult to have a seizure)
-sodium imbalances
-alcohol/withdrawal
-drinking on SSRIs
-body is used to a big depressant with alcohol dependancy. The CNS is in overdrive for a long
term and while the depressant is removed the CNS stays overactive however there may be
nothing there to depress it
-expanded ICP
-d/t mind bleed, trauma, CVA, tumor
-contamination (meningitis)
-d/t strain & immoderate firing
-kids: febrile seizures (attempt to preserve fever down and hydrated)
-epilepsy
-stimuli: flashing lighting, fever, and so on
-street drugs
class of injury - ANS--vicinity
-open vs closed
-severity
-focal vs diffuse
, -persistent vs acute
-number one vs secondary
medical manifestations of a stroke - ANS--FAST
-confusion/altered LOC
-imaginative and prescient changes
-difficulty swallowing (dysphagia)
-headache (very excessive, depressing, 10/10 unexpected)
-aphasia (expressive: now not making experience, receptive: cannot recognize phrases)
-behavioral changes
clinical manifestations of meningitis - ANS--neck pain/nuchal pressure
-fever (excessive: 102-105º)
-headache
-visual modifications (mild sensitivity: "photophobia")
-N/V: spontaneous- no longer preceded through nausea (d/t growth in ICP)
-rash
-*seizure* (d/t growth in ICP)
clinical manifestations of parkinsons - ANS--tremors
-unsteady gait (shuffling)
-posture adjustments (lean ahead)
-paresis/tension
-confusion
-sluggish/slurred speech
-cognitive adjustments (behavioral, *dementia* (d/t: atrophy in mind)
Cushing's triad - ANS--bradycardia
-widened pulse strain (extended systolic, regular/low diastolic)
-irregular respirations
diagnostic for epilepsy - ANS-a couple of seizures without some other rationalization
-rule out meds, lesions, etc
diagnostics for meningitis - ANS-lumbar puncture
-take a look at CSF
diagnostics for seizures - ANS-*EEG*
-measures electric hobby inside the mind
-seizure has to arise for the duration of EEG to diagnose
CT scan
-to rule out lesions
-if there was trauma to the head
symptom-based
Evaluation for a stroke - ANS--A&O status
-*LOC* 1st thing to alternate- beginning w/ confusion
-students
-NIHSS (on admission, as ordered, with a alternate in condition, with transfers) (ataxia:
coordination: finger to nostril, language: pics, sensation, electricity, visible acuity)
-vitals (extended BP, reduced HR to compensate, reduced RR/irregular: if ICP is severely high)
-swallow take a look at/screening
reasons of hemorrhagic stroke - ANS--*HTN*
-trauma
-aneurysms (manipulate BP w/ known aneurysm)
-tumors
-drug abuse (stimulants: cocaines, amphetamines)
causes of meningitis - ANS--*micro organism*
-virus
-fungal
causes of seizures - ANS--meds/alternate in meds
-SSRIs (these meds lower seizure threshold: less difficult to have a seizure)
-sodium imbalances
-alcohol/withdrawal
-drinking on SSRIs
-body is used to a big depressant with alcohol dependancy. The CNS is in overdrive for a long
term and while the depressant is removed the CNS stays overactive however there may be
nothing there to depress it
-expanded ICP
-d/t mind bleed, trauma, CVA, tumor
-contamination (meningitis)
-d/t strain & immoderate firing
-kids: febrile seizures (attempt to preserve fever down and hydrated)
-epilepsy
-stimuli: flashing lighting, fever, and so on
-street drugs
class of injury - ANS--vicinity
-open vs closed
-severity
-focal vs diffuse
, -persistent vs acute
-number one vs secondary
medical manifestations of a stroke - ANS--FAST
-confusion/altered LOC
-imaginative and prescient changes
-difficulty swallowing (dysphagia)
-headache (very excessive, depressing, 10/10 unexpected)
-aphasia (expressive: now not making experience, receptive: cannot recognize phrases)
-behavioral changes
clinical manifestations of meningitis - ANS--neck pain/nuchal pressure
-fever (excessive: 102-105º)
-headache
-visual modifications (mild sensitivity: "photophobia")
-N/V: spontaneous- no longer preceded through nausea (d/t growth in ICP)
-rash
-*seizure* (d/t growth in ICP)
clinical manifestations of parkinsons - ANS--tremors
-unsteady gait (shuffling)
-posture adjustments (lean ahead)
-paresis/tension
-confusion
-sluggish/slurred speech
-cognitive adjustments (behavioral, *dementia* (d/t: atrophy in mind)
Cushing's triad - ANS--bradycardia
-widened pulse strain (extended systolic, regular/low diastolic)
-irregular respirations
diagnostic for epilepsy - ANS-a couple of seizures without some other rationalization
-rule out meds, lesions, etc
diagnostics for meningitis - ANS-lumbar puncture
-take a look at CSF
diagnostics for seizures - ANS-*EEG*
-measures electric hobby inside the mind
-seizure has to arise for the duration of EEG to diagnose
CT scan
-to rule out lesions
-if there was trauma to the head
symptom-based
