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16 Cards in this Set
- Front
- Back
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DEFINE:
Status epilepicus |
= either (1) two or more seizures with failure to regain consciousness between ... (2) 30 mins+ of continuous seizures
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DESCRIBE:
First aid for a generalized tonic clonic seizure |
Don't hold them down
Time it Loosen anything around the neck Turn onto one side |
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LIST:
Anticonvulsant medication for a patient in status epilepticus |
1. IV lorazepam (ativan) + IV fosphenytoin
If still going after 30 min 2. Phenobarbital and/or Depacon |
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LIST:
Major features of Guillain-Barre Syndrome |
Initially distal numbness progressing to weakness
Areflexia |
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GIVE:
Major lab finding consistent with GBS |
Spinal tap shows "cyto-albuminologic dissociation"
Meaning super elevated protein, yet few cells |
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HOW:
Would one distinguish GBS from spinal cord compression |
In spinal compression one would see decreased rectal tone
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NAME:
t-PA exclusions for a patient with stroke |
Must be within 3-4.5 hours
Contraindications include: --unable to decrease SBP <185 --surgery within past 2 weeks --stroke accompanied by seizure or LOC --INR >1.1 --Brain hemorrhage or tumor --Symptoms spontaneously resolving |
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NAME:
Treatment of extradural spinal compression |
IV Dexamethasone
Surgical decompression |
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LOCALIZE:
Locked-In Syndrome |
requires a lesion in the pons
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DESCRIBE:
Classic presentation of vertebral artery dissection |
Neck/head pain followed in 2 weeks by stroke like symptoms
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HOW:
Much CSF is produced per day Much CSF does the brain hold at any one time |
500mL
150mL |
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GIVE:
Normal protein, glucose, opening pressure for LP |
Protein = 15-45
Glucose = 50-80 Opening Pressure = 8-15 |
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DIAGNOSE:
Blood in all four LP tubes |
SAH
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WHAT:
Is suggested by protein levels of 200+? 500+? |
200+ = bacterial meningitis
500+ = GBS or acoustic/spinal schwannoma |
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DESCRIBE:
Where you perform a spinal tap |
Most distal spinal process one can feel is L4. Perform puncture between either L3/L4 OR L4/L5
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WHAT:
Anesthesia should be used during LP |
1% lidocaine WITHOUT epinephrine
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