Exam (elaborations)
NR 325 exam 2 (nicole_kleber) (1).
- Course
- Institution
NR 325 exam 2 (nicole_kleber) (1).
[Show more]
Seller
Follow
modockochieng06
Content preview
NR 325 exam 2 (nicole_kleber)leakage of CSF
Ecchymosis
Battle's sign/raccoon eyes - ANS-what are s/s of head injury?
ensure patient airway*
priority - ANS-what is management of head injury?
If one component increases, another must decrease to maintain ICP.
only applicable to closed skull patients* - ANS-what is the Monro-Kellie doctrine?
5-15mmHg
>20mmHg needs treatment!! - ANS-what is normal ICP level?
CUSHINGS TRIAD
lethargy to coma
change in speech
cranial nerve dysfunction
seizures
abnormal posturing - ANS-What are key features of increased ICP?
elevated BP, Decreased pulse, and decreased respirations.
KEY characteristic of increased ICP - ANS-what is cushings triad?
raise head of bed
NO sneezing/blowing nose/bleeding
NO NG tube, nasotracheal suctioning - ANS-how do we manage patients leaking CSF?
elevated HOB atleast 30 degrees - ANS-How do we place a patient with increased ICP?
maintain AIRWAY*
Hyperventilate patient to "blow off" CO2 (CO2 dilates blood vessels)
Raise HOB
, Decrease metabolic demands by paralyzing and sedating patient
Mannitol- only diuretic given for ICP *
corticosteroids
Pain management
Intracranial monitoring (in ventricle)
Craniotomies- removes portion of skull to allow for brain to swell.
Decompressive craniectomy - ANS-what is the treatmet for increased ICP?
Mannitol - ANS-what is the ONLY diuretic given for increased ICP?
Obesity
Heart disease
Diabetes mellitus
Hypercholesterolemia
Hypercoagulable states
Cocaine, illicit drug use
Atrial fibrillation- develop into clot, clot causes stroke - ANS-what are risk factors of stroke?
absence- petit mal
usually occurs in children/young adolecense
hyperventilation and flashing lights can precipitate absence seizures - ANS-what type of seizure
is this?
daydraming seizure- staring off into space
tonic clonic- grand mal - ANS-what type of seizure is this?
muscle stiffening followed by JERKING.
patients will fall if they are standing
myoclonic - ANS-what type of seizure is this?
contractions of body muscles; sudden excessive jerk or twitch of extremities
atonic - ANS-what type of seizure is this?
go "limp", drop attacks (fall to the ground)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79202 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now