NUR 2940 Test 2
___ patients must have their HOB elevated - ANS-liver
2 IV meds also given for ICP - ANS-decahedron and methylprednisolone (steroids)
2 late signs of ICP - ANS-cushion's triad and dilated, fixed pupils. This means they are
close to death.
2 non-stimulant exemplar meds for ADHD: - ANS-atomoxetine (SNRI) and guanfacine
(alpha agonist)can NOT be on MAOI's with these meds, give them 6 hours before
bedtime.
A lot of times patients are _____ right after/ while recovering from a stroke. -
ANS-depressed.
ADHD s/s: - ANS-lack of concentration, easily distracted, lack of time management,
forgetfulness, lack of organization, squirming, doesn't complete tasks, speaking out,
internal restlessness in adults.
after spinal shock, patient may need _____ training - ANS-bladder and bowel training
all meds for tourettes: - ANS-haloperidol for motor tics, propanolol or clonidine for motor
ticks or tremors, gaunfacine for motor and verbal ticks
Anything below T1, the patient is usually a... - ANS-paraplegic
Assessment for progression of lupus: - ANS-checking for lupus nephritis which includes
swelling in the eyes, bloody/ foamy urine, and polyuria/ nocturia
atomoxetine side effects: - ANS-decreased appetite, N/V, can cause suicidal ideations.
toxicity can mean yellowing of skin, malaise, fever and abdominal pain.
C1-T1 and T1-T11 are usually what type of problem? - ANS-respiratory dysfunction
Causes of ICP - ANS-herniation, CSF not circulating, cerebral edema, hydrocephalus,
subarachnoid hemorrhage
Causes of SCI: - ANS-falls is number 1. other causes include MVA, sports, violence.
, Central herniation: - ANS-ICP is so high, that your brain stem and brain matter push
through the fossa of skull. Can intervene with this on easier but still very serious. Can
tell patient has this because their pupils will be pinpoint and non reactive.
cirrhosis of the liver: - ANS-progressive and slow onset and can progress over 30 years.
replaces normal liver tissue with fibrous tissue.
Closed TBI: - ANS-bruising, blast wave (like getting hit with a baseball bat), hitting
windshield, etc. This happens when the head is struck but the skin isn't broken because
nothing penetrates through to the skull.
common example of secondary injury with TBI - ANS-increased ICP. (leading cause of
death with head trauma)
complications in general with SCI - ANS-bowel and bladder problems
respiratory problems
pnuemonia
aspiration
ulcers (wrinkle free sheets)
Complications of RA - ANS-can end up getting pericarditis, myocarditis, pleurisy, and
pulmonary hypertension
concussion: - ANS-more widespread than a contusion. It is a diffuse injury on the brain
caused from shaking or a blow to the head. More mild TBI. temporary loss of neuro
function. no structural damage to brain.
conduct disorder can turn into.... - ANS-antisocial personality disorder
conduct disorder: - ANS-immune to discipline, they want to control others and this
DOES violate other's rights. Cruel to animals, forcing others into sex, lie and con others,
theft, etc.
contusion: - ANS-a focal hit. localized bruise or bleeding on the brain (usually in one
spot). Moderate to severe TBI. effects of injury peak after 18-36 hours, so need to
monitor for secondary injury. Loss of consciousness with confusion and stupor.
CPP for SCI patient should be what? - ANS-between 70 and 100. (Map minus ICP)