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22 Cards in this Set

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migrane care
reinforce drug therapy regimen, take medicine as soon as symptoms begin, lie in bed in a dark room and minimize noise and other stimuli
therapy (migraine?)
rest and drug therapy mainstays, mild analgesics ineffective, methysergide(sansert) or sumatriptan(imitrex) aborts migraines, antiemetics, biofeedback
nuchal rigidity
cant touch chin to chest, classic symptom meningitis(headache, fever, nuchal rigidity),pain in neck
halo sign
allow drainage to flow onto porous gauze, clear drainage that separates from bloody drainage suggests spinal fluid
halo sign(dextrostick)
wet a dextrostick or testape with drainage from nose or ear, observe if color change indicates presence of glucose
fracture
c1,c2,c3
paralysis below neck, impaired breathing, bowel bladder incontinence
fracture
c4,c5
ventillator support required, no sensation below clavicle
fracture
c6,c7,c8
diaphragmatic breathing, elbow upper arm wrist movement
fracture
t1-t6
paralysis below waist, control of hands, abdominal breathing
fracture t7-t12
trunk and abdominal control
fracture
l1-l2
hip adduction impaired
fracture
l3-l5
knee and ankle movement impaired
fracture
s1-s5
varying bowel and bladder control and sexual function
parkinsons disease care of
managing the clients drug therapy, levodopa is associated with periods of breakthrough or end of dose wearing off in which symptoms are exacerbated when a consistent level is not maintained, work with pt & ot on gait, balance, adl's
cva care
implement eating and swallowing techniques that reduce potential for aspiration, perform heimlich, speech pathologist, remove throw rugs, clutter, and electrical cords at home, perform regular exercises, change position frequently, apply braces or splints
aneurism of the brain
cerebral aneurisms usually occur in circle of willis(ring of arteries that supply brain),ct mri safer for locating site, lumbar puncture bloody csf, hunt hess classification
signs and symptoms of stroke
experience tia days weeks before stroke, signs of impending stroke numbness on one side of the face,arm, leg
mental confusion, difficulty speaking and understanding, impaired walking, severe headache, large hemmorhage unconscious, breathing noisy labored, cheek blows out on exhalation, eyes deviate toward affected part of brain, pulse slow, full bounding,
post cva safety
remove throw rugs, clutter, electrical cords, get walker, bedside commode
concussion
blow to head that jars brain, complete recovery within short time, brief lapse of consciousness, headache, double vision, dizzyness, mri rule out more serious injury, mild analgesia(acetominophen) relieves headache. watch for signs of iicp(behavioral alteratioins, sleepiness, personality changes, vomiting,speech gait disturbances
contussion
more serious than concussion leads to gross structural injury to brain
spinal shock
loss of sympathetic reflex activity below the level of injury within 60 minutes, hypotension, bradycardia, warm dry skin, bladder and bowel distension, no perspiration below injury, poikilothermia(body temperature of environment), lasts 1 week to months
bladder training paraplegic
record time client voids over several weeks establish voiding pattern, plan voiding schedule, encourage increased fluid intake, note any sensation that precedes voiding, void every 2hrs awake, bend at waist or press inward and downward, place hand in basin of water, paralyzed clients tap skin above pubis bone