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What does CSF analysis look like for viral meningitis? -
ANSWER -clear,
increased wbc and
protein
what does CSF analysis look like for bacterial meningitis -
ANSWER -cloudy,
decreased glucose, increased wbc,
and protein
s/s of meningitis - ANSWER -nuchal rigidity, n/v, photophobia,
Brudzinski's sign,
Kernig's
sign
What is Brudzinski's sign? - ANSWER -After forced flexion of the
neck there is a
reflex flexion of the hip and knee and
abduction of the leg.
,What is Kernig's sign? - ANSWER -After flexing the hip and
knee at 90 degree
angles, pain and resistance
are noted.
Nursing care for Meningitis - ANSWER -- bacterial = antibiotics
- viral = acyclovir
- steroids (decrease inflammation, increased infection)
- prophylaxis treatment for anyone in contact/exposed
- implement droplet precautions for first 24 hours of treatment
- Decrease ICP risk by elevating HOB, keep body midline, avoid
straining activities, turn everything down
What is MS? - ANSWER -Autoimmune disease with chronic
inflammation and
no cure; just periods of relapse and
remition
what is patho of MS - ANSWER -- body attacking its own myelin
sheath
what causes MS - ANSWER -genetic, autoimmune, infection
what are risk factors of MS - ANSWER -female, white, 20-50 y/o
hypovolemic shock assessment findings - ANSWER -- weak,
thready pulse
- tachy and hypo
- cold clammy skin
,- decreased CO = decreased tissue perfusion
what is neurogenic shock - ANSWER -- Caused by spinal cord
injury, usually as
a result of a traumatic accident
or injury
- Common with
T6+
- SNS
disruption
neurogenic shock assessment findings - ANSWER --
hypotensive and
bradycardic
- warm and dry
skin
-
hypothermia
neurogenic shock treatment - ANSWER -- establish
circulatory blood volume
- administer atropine for low
heart rate
- keep patient
warm
- prep to
intubate
what is DIC - ANSWER -disseminated intravascular coagulation
, what does DIC cause - ANSWER -abnormal coagulation
involving fibrinogen
- excessive clotting along with hemorrhage at
the same time
treatment of DIC - ANSWER -- blood
transfusion
- FFP (fresh frozen
plasma)
- fluid
replacement
lab values for lactate during hypovolemic shock - ANSWER ->2
indicates shock
medication for hypovolemic shock - ANSWER -vasopressors
what do vasopressors do - ANSWER -increase the workload of
the heart
what does vasopressin do - ANSWER -- causes
vasoconstriction (increase BP)
- reabsorption of water in the
renal tube
- increases blood flow to the heart
and brain
interventions for burns - ANSWER -- secure airway