Chronic Neurologic Problems

Front 1

seizure characterized by stiffening of the body followed by jerking of extremities

Back 1

tonic-clonic seizure

Front 2

seizure characterized by staring spell, usually in children

Back 2

typical absence seizure

Front 3

seizure characterized by staring spell with peculiar behavior during or confusion after seizure

Back 3

atypical absence seizure

Front 4

seizure characterized by basic symptoms that do not involve loss of consciousness and rarely last longer than 1 minute

Back 4

simple partial seizure

Front 5

seizure characterized by same as simple partial seizures but they do involve some loss of consciousness

Back 5

complex partial seizure

Front 6

seizure characterized by continuous seizure activity

Back 6

status epilepticus

Front 7

spontaneous recurring seizures caused by chronic condition

Back 7

epilepsy

Front 8

chronic progressive degenerative disorder of CNS characterized by demyelination of nerve fibers in brain & spinal cord

Back 8

multiple sclerosis

Front 9

progressive degenerative disease characterized by bradykinesia, muscle rigidity and tremor "Triad"

Back 9

Parkinson's disease

Front 10

autoimmune disease of neuromuscular junction characterized by fluctuating weakness of certain skeletal muscle groups

Back 10

Myasthenia Gravis

Front 11

rare progressive neurologic disorder characterized by loss of motor neurons

Back 11

ALS - Amyotrophic lateral sclerosis

Front 12

genetically transmitted autosomal dominant disorder that affects men & women of all races

Back 12

Huntington's Disease

Front 13

Acute inflammation of meningeal tissues surrounding brain/spinal cord

Back 13

meningitis

Front 14

acute inflammation of brain

Back 14

encephalitis

Front 15

common anti-seizure meds

Back 15

dilantin
phenobarbital
neurotin
topamax
ativan
valium
tegretol
depakote
klonopin

Front 16

anti-seizure med that has s/e of gingival hyperplasia

Back 16

dilantin

Front 17

common side effects of anti-seizure meds

Back 17

diplopia, drowsiness, ataxia, mental slowing

Front 18

common drugs used for MS

Back 18

corticosteroids
immunosuppressants
cholinergic
anticholinergic
muscle relaxants
CNS stimulants
antiviral

Front 19

MS drugs used for exacerbation of symptoms

Back 19

corticosteroids
immunosuppressants

Front 20

used for urinary retention in MS

Back 20

cholinergic
Urecholine

Front 21

used for urinary frequency in MS

Back 21

anticholinergics
Ditropan

Front 22

used for spastic movements in MS

Back 22

muscle relaxants
Valium

Front 23

used for fatigue in MS

Back 23

CNS Stimulant - Ritalin

Antiviral/anti-parkinsonian - Amantadine

Front 24

Drug used for ALS

Back 24

Rilutek

Front 25

S/S of ALS

Back 25

awkwardness of fine finger movements
Dysphagia
Fatigue
Muscle weakness in hands & feet

Front 26

Interventions for ALS

Back 26

monitor neurologic & respiratory status
Assess swallow & gag reflex
Monitor VS & I/O
Assist w/ROM exercises

Front 27

S/S Huntington's Disease

Back 27

Dementia
Abnormal muscle movements

Front 28

Treatment for Huntington's Disease

Back 28

Antidepressants (Prozac, Zoloft), antipsychotics (Thorazine, Haldol)
Supportive, protective TX

Front 29

Interventions for Huntington's Disease

Back 29

ADL's
Skin care
Bowel/Bladder care
Nutrition

Front 30

S/S of Meningitis

Back 30

chills, fever, H/A, malaise, photophobia, positive Brudzinski's sign (knees w/head movement), positive Kernig's sign (flex at hip), Nuchal Rigidity, N/V

Front 31

Treatments for Meningitis

Back 31

analgesics/antipyretics
antibiotics
Anticonvulsants (dilantin, phenobarbital)
Bed rest
Diuretic
hypothermia blanket
IV fluid admin
O2 therapy

Front 32

Interventions for Meningitis

Back 32

monitor neurologic function
monitor fluid balance
position client carefully
maintain quiet environment, dark room

Front 33

S/S MS

Back 33

nystagmus
diplopia
blurred vision
weakness
paresthesia
impaired sensation
paralysis

Front 34

Treatment for MS

Back 34

plasmapherisis (antibody removal)
cholinergics (Urecholine)
Prednisone, ACTH
Immunosuppressants
Muscle relaxers

Front 35

Interventions for MS

Back 35

Assess chgs in motor coordination, paralysis or MS weakness
Encourage verbilization of feelings
Establish bladder/bowel program
Maintain activity as tol

Front 36

S/S Myasthenia Gravis

Back 36

Dysphagia, drooling
Muscle weakness & fatigability
Muscles stronger in morning but weaken throughout the day

Front 37

Test for Myasthenia Gravis

Back 37

Tension test - relief of symptoms after med is admin = positive indication of disease

Front 38

Interventions for Myasthenia Gravis

Back 38

Monitor neurologic & respiratory status
Assess swallow/gag reflexes
Monitor for choking while eating

Front 39

S/S Parkinson's Disease

Back 39

pill-rolling tremors
rigidity
bradykinesia

Front 40

Treatments for Parkinson's Disease

Back 40

Antidepressants (Elavil)
Antiparkinson agents (Levdopa, Sinemet

Front 41

Interventions for Parkinson's Disease

Back 41

monitor neuro & resp status
reinforce gait training
reinforce independence of care
malnutrition - protein interferes w/levdopa
promote exercise

Front 42

Simple neuro exam

Back 42

Mental status (LOC- GCS & Orientation, Memory)
cranial nerves
motor function (hand grasp, pedal push)
pupillary response