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Med Surge - Neuro - Myasthenia - seizures

AB
Myasthenia Gravis - what is itsevere weakness of 1 or more groups of muscles
Myasthenia Gravis - s/sextreme weak w/activity restored w/rest, eye drooping, voick weakness
MS - what is itchronic progressive disease of peripheral nerves
Myasthenia Gravis has amasked like expression
MS is a demyelinating diseases that causespermanent degeneration
myelin - what is itinsulator that enables nerve impulese to pass alone nerve fiber
MS s/sblurred vision, double vision, mood swings, weakness, clumbsy, numb tingle
ALS - what is itdegeneration of motor neurons of spinal cord and brain stem
ALS results in muscleweakness and wasting
ALS s/smuscle twitch, inappropriate laugh/cry
ALS end stages results inR failure and total paralysis
Bells Palsy affects ___ nerve7th
Bells Palsy s/spain behind ear, numb, decreased blink reflex
Bells Palsy treat w/corticosteriods
Meningitis s/s Big 3h/a, stiff neck (nuchal), photopobia
meningitis s/s of severeBrudzinski Sign
Brudzinski's Sign looks likeflex neck causes knees and hip to flex
most serious form of meningitisbacterial
prevention of memingitisimmunizations
Guillan-Barr Syndrome - what is itacute post infection
Guillan-Barr happens when1 month after progression
Guillan-Barr affectsperipheral nerves and spinal cord routes
Guillan-Barren believed to beautoimmune disorder that follows a primary disorder - usually infection
CVA nursing acute phase repositioningreposition q 2 hrs on unaffected side and 20-30 min on affected side
CVA place food onunaffected side
CVA nursing chronic phaseapproach from unaffected side, increase mobility, fluids & fiber, teach transfer
CVA risk factorsHTN, hx, obesity, diabetes, tobacco use, birth control, heart disease, sedentary
CVA s/snumb tingle 1 side, mental confusion, difficult speaking, balance, sever h/a
expressive aphasisspeak
receptive aphasiaunderstand speech or written
hemianopiaonly see 1/2 of visual field
TIAtransient ischemic attacks
TIA is suddenbrief attack of impairment
TIA s/ssame as cva, with bruite of caritoid
2 types of strokesischemia 80% - hemorrhagic
ischemia is cellinsufficient blood flow
hemorrhagicrupture bleeding
tPAclot buster - w/in 2-3 hrs
only ischemic strokes can receivetPA
aneurysmweakening in the wall of blood vessels
aneurysm usually occur incircle of willis
aneurysm s/ssudden severe h/a, dizzy n v loss of conciousness, STIFF neck
seizures - what is itbrief episode of abnormal electrical activity of brain
seizures is depleted tissue ofox or glucose
seizures - nursingtime, client on side, suction, pad rails,
seizures also note (2) bodypresence of incontinence and note body parts affected
after seizures, pt aretired and confused



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