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Nurs 5463 Module 7 test
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Nurs 5463 Module 7 test
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Nurs 5463 Module 7 test 6 6 6 6Study6online6at6https://quizlet.com/
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1. delirium: an acutely disturbed state of mind that occurs in fever, intoxic
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ation, and other disorders and is characterized by restlessness, illusions,
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and incoherence of thought and speech.
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2. Dementia: a slowly progressive decline in mental abilities, including
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memory, thinking, and judgment, that is often accompanied by person
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ality changes 6
3. RASS: Richmond Agitation Sedation Scale
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4. CAM ICU test: -4 questions and a command
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-Only tool validated for use on vent patients to diagnose delirium
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5. Risk factors for ICU delirium. 3 categories: 1) acute illness
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2) age/chronic health problems 6 6
3) environmental/iatrogenic
6. Leading iatrogenic risk factors for delirium?: psychoactive medications
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7. Management of delirium: - mobilize early 6 6 6 6 6
- improve sleep cycle 6 6
- no haldol or atypical antipsychotics to prevent dilirium, or is prolonge
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d QT, Tor- sades, or when taking meds that prolongs QT
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-Use Precedex rather than benzos when require sedation
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-Benzos and delirium in alcohol or benzo withdrawal
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8. Transient Ischemic Attack (TIA): - 6 6 6 6
6transient episode of neurologic dysfunction caused by focal brain, spinal
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6cord, or retinal ischemia, without acute infarction
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-highest risk for stroke after a TIA is within 48hr
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-15% of TIA precede stroke
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-early intervention of TIA reduce risk for stroke-80%
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9. TIA common and uncommon causes.: common: atherosclerosis of large
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ves- sels, cardioembolism and a-fib
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uncommon: hypercoaguable states, aortic dissection, hyperlipidemia, smo
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king, obe- sity and DM 6 6 6 6
10.ABCD2 Risk Stratification Score: - 6 6 6 6
used by clinicians to determine risk of stroke in the first 7 days followi
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ng a TIA 6 6
-5 parameters: age, BP, clinical features, duration of TIA, DM
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-Score range 0-7 6 6
11.Management of TIA: Use ABCD score to determine risk of CVA. If 3 or gre 6 6 6 6 6 6 6 6 6 6 6 6 6 6
ater, should be admitted
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-Age (>60) 6
-Blood pressure (>140/90) 6 6
-Clinical symptoms 6
16/615
, Nurs 5463 Module 7 test
6 6 6 6
Study6online6at6https://quizlet.com/
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-Duration 6(>606minutes)
-Diabetes
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, Nurs 5463 Module 7 test
6 6 6 6
Study6online6at6https://quizlet.com/
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12.Treatment of TIA: -tPA initiated if symptoms do not resolve and r/o bleed
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-
prophylactic antiplatelet therapy (if TIA is NOT caridogenic); ASA, ticlopidi
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ne (ticlid), clopidogrel (Plavix), dipyridamole
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-cardiogenic TIA requires anticoagulation 6 6 6
-IV heparin and then warfarin longterm
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-
carotid endarterectomy indicated in pts with ant circulation TIA an
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d moder- ate-to-high grade carotid stenosis (70-90%)
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-
control BP, (treat 220/120 or map >110) with CCB Nicardipine; mixed
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6a1/
b1,2 blocker Labetalol (it decreases PVR w/
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o significant decrease in HR or CO
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-
serum cholesterol, glucose, afib, stop smoking, avoid excessive alcohol, los
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e weight 6
13.Modifiable risk factors for stroke: *Hypertension- 6 6 6 6 6
most significant Hypercholesterolemia
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Atherosclero
sis Atrial fibril 6 6
lation Obesit 6
y
Drugs and alcohol Diabe 6 6 6
tes, sickle cell anemia TI
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A's
14.Non-modifiable risk factors for stroke: a- 6 6 6 6 6
fib heart failure 6 6
cardiomyopat
hy valve disor 6 6
ders age, 6
gender
, race, 6 6
heredit
y
15.What is hemianopia/ 6 6
hemianopsia?: vision loss (1/2 of visual field) in one or both eyes 6 6 6 6 6 6 6 6 6 6 6
16.What is transient monocular blindness?: loss of vision in one eye 2nd
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6to decreased bf in retinal circulation
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36/615
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