mdc4 exam 1 Migraine signs/symptoms Ans- Episodic, head pain lasting from 4 to 72 hours Steady ache to violent throbbing Unilateral, worse with activity Aura Photophobia, phonophobia, osmophobia education about propranolol Ans- take daily at the same time Multiple Sclerosis treatment Ans- immunomodulators and immosuppressants.commonly given as injections so rotate injection sites clinical manifestations of meningitis Ans- nuchal rigidity (stiff neck), positive kernigs, brudzinskis sign, treatment for severe migraines* Ans- ergotamine tartrate (taken at the start of the headache) can take up to 6 tablets in 24 hours How does ergotamine tartrate work? Ans- acts by constricting the cerebal blood vessels priorities for seizure precautions Ans- lay on left side, adequate airway, padded rails.how to manage a patient with active seizure Ans- suction and 02, bedrails up and padded, IV access, give ativan/lorazepam New onset of a migraine and the doctor wants a ct with contrast Ans- ask if allergic to shellfish, seafood, iodine dietary restrictions for people with migraines Ans- caffeine, marinated foods, yogurt What can we do if someone has increased ICP? How do you want the head of the bed Ans- 30-45 degrees how do alzheimers patients act with changes in their environment Ans- anxious/anxiety What is our priority with cervical spinal injuries Ans- ABC's and stabalize swallow study Ans- start with ice chips, watch for pocketing stroke nursing interventions Ans- small bites with food, 1 / 2
MS diet - pureed, watch the affected side for food pocketing, dentures, sit up right 90 degrees, DO NOT use straws.CSF- what to know Ans- clear fluid, halo ring, DO NOT put things in their ears Stroke- need to know Ans- tuck chin to swallow to prevent aspiration Contraindication for increased ICP Ans- lumbar puncture elevated pressure Ans- elevate bed significant sign of icp Ans- loc keep body in alignment so that Ans- jugular does not occlude Proprioception Ans- perception/position to space - forget about body on the one side monitor BP after giving meds to a stroke pt Ans- do neuro checks treatment for a Hemorrhagic STROKE Ans- vit k, fresh frozen plasma and surgery EEG Ans- for organ donor checking brain death boker's and wernicks - receptive Ans- can't understand what is coming in, expressive (nursing management) MS- what medication is used to help treat spasms? Ans- baclofen Highest risk with myasthenia gravis with eating and drinking Ans- respiratory Differences between myasthenia gravis and Guillain Barre Ans- progressive Proximal to distal muscle weakness Ans- myasthenia gravis ascending symmetrical muscle weakness Ans- Guillain Barre Health hx of pt with Gillian Barrie- Ans- exposure to virus Normal ICP? Ans- 10-15
Patient care of ICP of 22 Ans- Decrease ICP by:
Decrease noise in pt room, Give stool softener
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