11/4/24, 4:44 AM NR 325 exam 2 (nicole_kleber) Flashcards | Quizlet
NR 325 exam 2 (nicole_kleber)
WITH COMPLETE SOLUTIONS GRADED A+
leakage of CSF
what are s/s of head injury? Ecchymosis
Battle's sign/raccoon eyes
ensure patient airway*
what is management of head injury?
priority
If one component increases, another must decrease to maintain ICP.
what is the Monro-Kellie doctrine?
only applicable to closed skull patients*
5-15mmHg
what is normal ICP level?
>20mmHg needs treatment!!
CUSHINGS TRIAD
lethargy to coma
change in speech
What are key features of increased ICP?
cranial nerve dysfunction
seizures
abnormal posturing
elevated BP, Decreased pulse, and decreased respirations.
what is cushings triad?
KEY characteristic of increased ICP
raise head of bed
how do we manage patients leaking CSF? NO sneezing/blowing nose/bleeding
NO NG tube, nasotracheal suctioning
How do we place a patient with increased elevated HOB atleast 30 degrees
ICP?
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, 11/4/24, 4:44 AM NR 325 exam 2 (nicole_kleber) Flashcards | Quizlet
maintain AIRWAY*
Hyperventilate patient to "blow off" CO2 (CO2 dilates blood vessels)
Raise HOB
Decrease metabolic demands by paralyzing and sedating patient
what is the treatmet for increased ICP?
Mannitol- only diuretic given for ICP *
corticosteroids
Pain management
Intracranial monitoring (in ventricle)
Craniotomies- removes portion of skull to allow for brain to swell.
Decompressive craniectomy
what is the ONLY diuretic given for Mannitol
increased ICP?
Obesity
Heart disease
Diabetes mellitus
what are risk factors of stroke? Hypercholesterolemia
Hypercoagulable states
Cocaine, illicit drug use
Atrial fibrillation- develop into clot, clot causes stroke
absence- petit mal
what type of seizure is this?
usually occurs in children/young adolecense
daydraming seizure- staring off into space
hyperventilation and flashing lights can precipitate absence seizures
what type of seizure is this? tonic clonic- grand mal
muscle stiffening followed by JERKING.
patients will fall if they are standing
what type of seizure is this? myoclonic
contractions of body muscles; sudden
excessive jerk or twitch of extremities
what type of seizure is this? atonic
go "limp", drop attacks (fall to the ground)
what type of seizure is this? partial
simple partial, complex partial
affecting one side of the brain
seizure occuring for more than 5 minutes or recurring seizures over 30 minute
what is status epilepticus?
period
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NR 325 exam 2 (nicole_kleber)
WITH COMPLETE SOLUTIONS GRADED A+
leakage of CSF
what are s/s of head injury? Ecchymosis
Battle's sign/raccoon eyes
ensure patient airway*
what is management of head injury?
priority
If one component increases, another must decrease to maintain ICP.
what is the Monro-Kellie doctrine?
only applicable to closed skull patients*
5-15mmHg
what is normal ICP level?
>20mmHg needs treatment!!
CUSHINGS TRIAD
lethargy to coma
change in speech
What are key features of increased ICP?
cranial nerve dysfunction
seizures
abnormal posturing
elevated BP, Decreased pulse, and decreased respirations.
what is cushings triad?
KEY characteristic of increased ICP
raise head of bed
how do we manage patients leaking CSF? NO sneezing/blowing nose/bleeding
NO NG tube, nasotracheal suctioning
How do we place a patient with increased elevated HOB atleast 30 degrees
ICP?
https://quizlet.com/451406114/nr-325-exam-2-nicole_kleber-flash-cards/ 1/8
, 11/4/24, 4:44 AM NR 325 exam 2 (nicole_kleber) Flashcards | Quizlet
maintain AIRWAY*
Hyperventilate patient to "blow off" CO2 (CO2 dilates blood vessels)
Raise HOB
Decrease metabolic demands by paralyzing and sedating patient
what is the treatmet for increased ICP?
Mannitol- only diuretic given for ICP *
corticosteroids
Pain management
Intracranial monitoring (in ventricle)
Craniotomies- removes portion of skull to allow for brain to swell.
Decompressive craniectomy
what is the ONLY diuretic given for Mannitol
increased ICP?
Obesity
Heart disease
Diabetes mellitus
what are risk factors of stroke? Hypercholesterolemia
Hypercoagulable states
Cocaine, illicit drug use
Atrial fibrillation- develop into clot, clot causes stroke
absence- petit mal
what type of seizure is this?
usually occurs in children/young adolecense
daydraming seizure- staring off into space
hyperventilation and flashing lights can precipitate absence seizures
what type of seizure is this? tonic clonic- grand mal
muscle stiffening followed by JERKING.
patients will fall if they are standing
what type of seizure is this? myoclonic
contractions of body muscles; sudden
excessive jerk or twitch of extremities
what type of seizure is this? atonic
go "limp", drop attacks (fall to the ground)
what type of seizure is this? partial
simple partial, complex partial
affecting one side of the brain
seizure occuring for more than 5 minutes or recurring seizures over 30 minute
what is status epilepticus?
period
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