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37 Cards in this Set

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Central cord syndrome
Most often in C-spine, caused by hyperextension resulting in hemorrhage into the center of the cord. Upper extremities are effected more than lower .
Brown-sequard syndrome
damage to half of the cord. Loss of motor function, position and vibratory sense and vasomotor paralysis on same side as lesion. Pain and temperature sensation are lost on the opposite side.
Anterior cord syndrome
disruption of blood flow in spinal artery from acute compression from flexion. mixed loss of motor and sensory function.
Contusion
Most potential for temporary impairment. As fluids are absorbed, sensation returns. This can take 3-5 months. Must maintain muscle fitness so when nerves return, they can recover.
Carbidopa
Used to treat parkinsonism.
Sinemet
Carbidopa and levadopa. Sinemet is the brand name for the two combined.
Benztropine (Cogentin)
Treatment of Parkinson’s
Anticholinergic
Class: Anticholinergic
Diazepam
Antispasmodic, preoperative sedation, concious sedation
Bendodiazepine
Dipyridamole
Prevention of thromboembolism
Platelet adhesion inhibitor
Hydrodiuril
Treatment of edema
Thiazide diuretic
Phenobarbital
Preop sedative
Anticonvulsant
decrease cerebral blood flow.
Pentothol
Barbiturate
Phenytoin
Antiseisure
Dilantin
Hydantoin
Tegretol
seisures, neurogenic pain(Carbamazepine)
Anticonvulsant
Haldol
Treatment of huntings chorea
Antipsychotic
Thorazine
Treatment of huntingtons chorea
Chlorpromazine
Inapsine
Adjunct to general and reigonal anesthesia
Sedative, hypnotic Droperidol
Sedative, hypnotic
Droperidol
Reglan
Antiemetic
Management of post-operative nausia
Antiemetic
Metoclopramide
Gaviscon
Treatment of peptic ulcer pain
Epidural hematoma
Often injury to the middle meningeal artery in the temporal area.
Subdural hematoma
Subdural hematoma
May be venous. mimics a CVA
Intracerebral hematoma
Intracerebral hematoma
One of the causes for stroke from ruptured vessels.
nystagmus, intention tremor or scanning (staccato)speech
Multiple Sclerosis
Myasthenia gravis
Muscle weakness, fatigue, weakness of hands,
Proximal limbs are more affected than distal.
Amyotrophic lateral sclerosis
Myelin sheaths are destroyed on lateral tracts of the spinal cord.
ALS
s/s
May present with fatigue, muscle weakness, atrophy, twitching.
Huntington’s chorea
Loss of cells in the basal ganglia
There are involuntary movements, intellectual decline,
Muscular dystrophies
Muscle wasting, in shoulders, hips arms and eventually hands. Speech problems, GI and eye motor problems
Decorticate
Flexion of arms, wrists, fingers, extention and internal rotation of lower extremities
Decerebrate
All extremities extended.
Midbrain or brainstem
GCS componants
Eyes, verbal, motor
Symptoms of ICP
Increased systolic BP, (widening pulse pressure),
decreased HR
Irregular respirations
Atrial flutter
recurring regular saw tooth pattern with 250-350 BPM.
Atrial fibrillation:
Rapid irregular P waves over 350.
Meperidine
Preop sedation,anesthesia adjunct
Demerol
Opioid
AE seisures
Fentanyl
Induction and maintenance
Pre and post op analgesia
Opioid Sublimaze
Opioid
Sublimaze
Midazolam
Concious sedation,
Induction adjunct
Versed
Benzodiazapine
Benzodiazapine
Versed
vicoden
Analgesia
Opioid with tylenol
Hydrocodone