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NURS 3366 PATHO NEW EXAM WITH COMPLETE SOLUTIONS 100% VERIFIED
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NURS 3366 PATHO NEW EXAM WITH COMPLETE SOLUTIONS100% VERIFIED
How to Prevent IICP - ANSWER Give Oxygen
Manage BP
Head of bed 30 degrees up (flat beds increase IICP)
Diuretics
Types of Brain DZ - ANSWER Alzheimer - Amyloid
Parkinson's - Dopamine
Multiple Sclerosis - Myelin Sclerosis
DX of Alzheimer - ANSWER ↑Amyloid protein →Senile Plaque →Senile Plaque +
Neurofibrillary Tangles = disruption in nerve impulse in brain
S&S of Alzheimer - ANSWER Dementia
Forgetfulness
DX of Parkinson's - ANSWER ↓Dopamine in Basal Ganglia
S&S of Parkinson's - ANSWER Hypertonia & Dyskinesia
TX of Parkinson's - ANSWER Dopamine (L-Dopa)
and
Anticholinergic (Acetylcholine blockers - Benadryl - anti-histamine)
,Definition of Hypertonia - ANSWER Cog-wheel forearm movement.
Facial Rigidity
Dysarthria
Dysphagia
Found in patients with Parkinson's
Definition of Dysarthria - ANSWER Difficulty with words
Found in patients with Parkinson's
S&S of HYPOALDOSTERONISM - ANSWER Polyuria & Hypotension
due to Pituitary Gland problem
S&S of Cerebella Stroke - ANSWER Coordination & Balance Problems
Vertigo
Nystagmus (REM)
N&V
Loss of Coordination
Falling Down.
S&S of Cerebral Stroke - ANSWER sensorimotor fxn deficits & special fxn deficits.
Pain Touch and Temperature
S&S of Cerebral Left Hemispheric Stroke - ANSWER Analytical deficits
Speech "dysphasia"
Right limb weakness
S&S of Cerebral Right Hemispheric Stroke - ANSWER Spatiality - nothing on their left
,"left side neglect"
Seat of sight - nothing is wrong with them.
Creativity deficit - art, music, face recognition, etc
S&S of Cerebral Stroke Above the shoulder - ANSWER pain, temperature and touch
S&S of Hemorrhagic Stroke - ANSWER Light Intolerance
Intense Headaches
Neck Pain
N&V
S&S to DX Stroke - ANSWER FAST
Face - smile
Arms - lift arms
Speech - speak
Time - 911
TX of Stroke - ANSWER Prevent IICP:
Give Oxygen
Manage BP
Head of bed 30 degrees up (flat beds increase IICP)
Diuretics
Types of Eye disorders - ANSWER Cataracts, Glaucoma, & AMD
Cataracts - ANSWER clouding opaque len due to protein coagulation
, Glaucoma - ANSWER impaired peripheral vision
AMD - ANSWER impaired central vision
Pituitary Gland Problems - ANSWER ADH, SIADH
ADH Problems S&S - ANSWER Diabetes Insipidus
- Polyuria
- Thirsty
- Hyperosmolality
-T→B
- Dehydration, Dry Skin & Dry Mucous Membrane, Skin Turgor
SIADH S&S - ANSWER Oliguria
Hypoosmolality
B→T
Pulmonary Edema
Peripheral Edema
What are the Thyroid Gland Problems - ANSWER Hyperthyroidism Thyrotoxic Crisis,
Hypothyroidism
Pts with Hyperthyroidism - ANSWER Grave's Disease
DX of Hyperthyroidism - ANSWER High T4 but Low TSH
What is Graves Disease - ANSWER Autoimmune disorder - b-cell autoantibodies attack
the thyroid gland - mimic them and produce more T3 & T4
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