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parkinsons disease
slowly progressing neurologic movement siorder that eventually leads to disability
dopamine
what neurotransmitter is lacking in parkinsons disease
levodopa and carbidopa
medication for parkinsons disease
rigidity, tremors, bradykinesia, postural instability
s/sx of parkinsons disease
educate on fall prevention
adherance on medication
nursing management for parkinsons disease
deep brain stimulation
surgical procedures for parkinsons disease
myasthenia gravis
a chronic autoimmune neuromascular disorder characterized by varying degress of skeletal muscle weaknessacety
acetylcholine
neruotransmitter affected in myasthenia gravis
mestinon
medication for myasthenia gravis
thymectomy
surgical intervention for myasthenia gravis
myasthenia crisis
complicaiton for myasthenia gravis
ptosis, diplopia, dysphagia
s/sx for myasthenia gravis
edrophonium test
diagnostic test for myasthenia gravis
position semi fowler
provide soft diet
manamgent for myasthenia gravis
Huntington's Disease
causes nerve cells in the brain to decay over time.
Huntington gene (HTT)
what happens in huntington disease
involuntary jerking
problems in attention
problems in sleeping
s/sx huntington disease
motor dysfunction
complicaiton for huntington disease
Degenerative Disc Disease
is a condition where the intervertebral discs of the spine lose hydration and elasticity over time, leading to disc thinning, reduced cushioning
Assist with positioning to reduce pressure on the spine
Frequent position changes
nursing intervention in Degenerative Disc Disease
analgesics; NSAIDs
medication for Degenerative Disc Disease
chronic lower back pain; decreased ROM
s/sx of Degenerative Disc Disease
brain abscess
is a localized collection of pus within the brain tissue, resulting from an infection
Maintain a safe environment to prevent injury
mplement strict aseptic techniques
interventions for brain abscess
antibiotics
cortiosteroids
medication for interventions for brain abscess
headache, fever, seizure
s/sx for interventions for brain abscess
ICP
complication for brain abscess
Arthropod-borne virus encephalitis
is a type of brain inflammation caused by viruses transmitted to humans through the bite of infected arthropods,
mosquito, tick
examples of
Arthropod-borne virus encephalitis
headache, fever
s/sx of Arthropod-borne virus encephalitis
on personal protection such asusing of insect repellent,
draining stagnant water
nursing intervention on Arthropod-borne virus encephalitis
paracetamol; antiviral
medications for Arthropod-borne virus encephalitis
herpes simplex encephalitis
serious and life threatening brain infection caused by herpes simplex virus
brain inflammation
what happens to brain in herpes simplex encephalitis
fever, headache, disorientation
s/sx of herpes simplex encephalitis
comfro measures to reduce headache
provide safety measures
nursing managment for herpes simplex encephalitis
acyclovir; dexamethasone
medicaiton for herpes simplex encephalitis
Altered Level of Consciousness
(LOC) refers to any state in which a person's awareness, responsiveness, or alertness is diminished.
ensure patent airway, regularly assess GCS
nnursing management of Altered Level of Consciousness
mannitol, phenytoin
medication for Altered Level of Consciousness
confusion; restlessness
early indicators for Altered Level of Consciousness
stupor; abnormal posturing
progressive signs of Altered Level of Consciousness
increased intracranial pressure
refers to the rise in pressure inside the skull, which can compress the brain and impaire its function
headache, nausea
early s/sx of increased intracranial pressure
lethargy; slurred speech
progressive s/sx of increased intracranial pressure
cuhsing triad
late stage s/sx increased intracranial pressure
hypertension; bradycardia; slow respi
cushing triad
head eleveation
airway management
nursing managemnet for increased intracranial pressure
hernation; severe brain damage
complicaiton for increased intracranial pressure
decompressive craniectomy
surgical interventions for increased intracranial pressure
mannitol; corticosteroids
medication for increased intracranial pressure
draws fluid out of brain tissue into the bloodstream
purpose of mannitol
ischemic stroke
occurs when a blood clot or plaque blocks a blood vessel in the brain, reducing blood flow to a specific area
face drooping
arm weakness
speech difficulty
call 911
fast s/sx ischemic stroke
anticoagulants, thrombolytics
medication for ischemic stroke
tissue plasmogen activator
TPA meaning
seizure
complication for ischemic stroke
hydrate patient
administer medicaiton as prescribed
nurisng interventions for ischemic stroke
carotid artery stenting
surgicla interventions for ischemic stroke
hermorrhagic stroke
A stroke that occurs when an artery ruptures, then causes bleeding into the brain tissue, ventricles, or subarachnoid space
intracerebral and subarachnoid
types of hemorrhagic stroke
thunderclap headache; altered LOC
s/sx of hemorrhagic stroke
aneurysms; arteriovenous malformation
causes of hemorrhagic stroke
restrict physical activity
assess neurological status frequently
nursing interventions for hemorrhagic stroke
nicardipine
antipyretics
medication for hemorrhagic stroke
traumatic brain injury
a brain dysfunction caused by an external force, such as a
blow to the head or penetrating injury.
focal and diffuse
types of TBI
primary injury
damage that occurs ath the momment of trauma
contact
acceleration and deceleration
types of mechanims that occur in prumary injury in TBI
blunt and penertrating
types of mechnaims or trauama in TBI
headache
attention issues
mild TBI s/sx
confusion
nausea repeated
moderate TBI s/sx
unconscious
seizures
severe TBI s/sx
mannitol; phenytoin
medicaiton for TBI
ensure proper positioning
maintain airway and oxygenation
nursing intervention in TBI
wear seatblets
never drive under influence
health educaito in TBi
gaze
comprehension
sensation
meaning of GCS
Contusion
: A bruise on the brain caused by direct impact
skull fracture
is a break or crack in one of the bones of the skull, typically caused by a blunt force trauma, such as a fall, motor vehicle accident, or physical assault
comminuted
linear
types of skull fracture
clear fluid leakage
altered LOC
localized pain
s/sx of skull fracture
signs of battle
bruising behind the eye
in skull fracture
blunt trauma
causes of contusion
blurred vision
amnesia
s/sx of contusion
elevate patients head
teach client to monitor for any signs of complicaiton
nursing management of contusion
acetaminophen
medicaiton for contusion
Intracranial hemorrhage
(ICH) refers to bleeding within the skull, either inside the brain tissue
Epidural hemorrhage
: Bleeding between the skull and dura mater, typically caused by trauma with a brief loss of consciousness followed by a lucid interval.
Subdural hemorrhage
: Bleeding between the dura mater and the brain. Often due to trauma, common in elderly and those with anticoagulant therapy.
Subarachnoid hemorrhage
: Bleeding in the space between the brain and the thin tissues covering it. Often caused by a ruptured aneurysm or head injury.
confusion
eye changes
neck stiffness
s/sx of Intracranial hemorrhage
steroids, sedation
medcation given to Intracranial hemorrhage
regular screening time
ensure safety measures
nursing intervention for Intracranial hemorrhage
concussion
is a mild traumatic brain injury (TBI) caused by a blow to the head or a violent shaking of the head and body
slurred speech
clumsiness
s/sx of concussion
Promote hydration and proper nutrition.
Encourage adequate rest and sleep.
nursing intervention for concussion
acetaminophen
metoclopramide
medicaiton for concussion
headache
nausea
Diffuse axonal injury
is a severe form of traumatic brain injury (TBI) that occurs when the brain is rapidly accelerated or decelerated, causing widespread shearing, stretching, or tearing of the axons (nerve fibers) within the brain
coma
motor dysfunction
emotional disturbances
s/sx of DAI
epilepsy
disability
complication for DAI