Update) Advanced Acute Care Management
Exam |Week 5-8| Questions with Verified
Answers| 100% Correct- Chamberlain.
Question:
What is CSF?? i,- i,-
Answer:
cerebrospinal fluid i,-
Question:
What does CSF do??
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Answer:
CSF surrounds the spinal cord and brain, acting as a cushion of protection
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for the nervous system. The dura, a layer of tough fibrous tissue, encloses
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CSF within a contained space. A tear or hole in the dura can result in a
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CSF leak.
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Question:
Subjective symptoms of a CSF leak??
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,Answer:
Most clients with a post-procedural CSF leak complain of a
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-severe headache which tends to improve with lying down.
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-Nausea, vomiting, dizziness, and tinnitus are also common.
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Question:
conservative tx for CSF leak symptoms?? i,- i,- i,- i,- i,-
Answer:
having the client lie in a comfortable position (supine or lateral)
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rehydration
analgesics
anti-emetics
Question:
If conservative tx for CSF leak symptoms fails, what is the next step??
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Answer:
Blood patch procedure
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Question:
Blood patch? i,-
,Answer:
Used for CSF leak repair
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-performed by an anesthetist i,- i,- i,-
-needle in the lumbar epidural space.
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-Approximately 20-30 milliliters (mL) of autologous blood taken from the
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client's arm is then immediately injected through the epidural needle.
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-An epidural blood patch often results in immediate and full relief of
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symptoms
-Surgical repair of the dura is reserved for persistent CSF leaks which do
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not respond to conservative measures and blood patching.
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Question:
Which of the following statements regarding CSF leaks is NOT true?
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-Headache, nausea, vomiting, and dizziness are commonly reported.
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-Symptoms tend to improve with lying down and recur when standing
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upright.
-An epidural blood patch often results in immediate and full relief of
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symptoms.
-Intravenous caffeine is the first-line treatment option.?
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Answer:
Intravenous caffeine is the first-line treatment option.
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, Rationale: While anecdotal relief with IV caffeine has been reported in the
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literature, a lack of evidence-based supports its use as a standard
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recommended treatment option i,- i,-
Question:
What is the cornerstone diagnostic procedure if meningitis is suspected??
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Answer:
lumbar puncture and CSF analysis
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Question:
The classic CSF abnormalities in bacterial meningitis include:?
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Answer:
Positive CSF bacterial cultures/Gram stain
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Polymorphonuclear (PMN) leukocytosis (>100 cells/μL) i,- i,- i,- i,-
Increased protein concentration (>0.45 g/L)
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Increased opening pressure (>180 mmH2O)
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Decreased glucose concentration (<2.2 mmol/L [<40 mg/dL] and/or
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CSF/serum glucose ratio of <0.4)i,- i,- i,- i,-
Question:
what type of imaging is appropriate for meningitis dx??
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