What is a craniotomy ? - Answers surgical opening into the skull
Used for: tumors, clots, decrease ICP
Making a hole in skull, bone/flap stays out until they put it back in 3-6months
Craniotomy post-op goals - Answers Reduce edema, control pain , monitor BP, prevent seizures
Are headaches common with craniotomy? - Answers YES
Is systolic above 130 okay? - Answers NO, do not let happen, indicative of bleed or increased ICP
If you have drain of 50-100: - Answers Call MD
Leaking from nose and ears is - Answers Medical emergency
What is a complication of head injury - Answers Diabetes (DI)
Monitor urinary output
Meningitis (fungal) - Answers Cryptococcus neoformans—> standard precautions
What clinical manifestations would you see in meningitis? - Answers (Opportunistic infection)
Headache, fever, neck immobobility, positive kernigs and brudinskin sign , high fever
When should you get vaccinated for meningitis - Answers 11-12, booster at 16
Military and college freshman most at risk
Exposure to meningitis - Answers Penicillin, cephalosporin ASAP after exposure
What medication could be given for inflammation R/T to meningitis - Answers Prednisone
Nursing Interventions for meningitis - Answers Antibiotics
Quiet dark room
Plenty of rest
Isolation
Infectious up to 24hr,
Frequent neuro checks
What can encephalitis be caused by - Answers HSV 1 or 2
Type 1: birth
Type 2: lies dormant in trigeminal nerve
S/S of encephalitis - Answers Fever, headache, confusion , seizures, hallucinations
Nursing interventions encephalitis - Answers Frequent neuro checks, quiet dark room
Are visitors helpful or harmful
IV antibiotics or about 3 weeks
Etiology of Huntington's Disease - Answers Chronic progressive and hereditary
S/S of huntingtons - Answers TRIAD: chorea, cognitive impairment, behavioral features
Market dementia in the late stage
myasthenia gavis - Answers Autoimmune
Antibodies are directed at the acetylcholine site that causes the patient to have paralysis from the
head down
S/s OF MG - Answers Ptosis, saggy eyelids, diploid face throat and muscle weakness, could go into
respiratory failure
Does myasthenia graves affect coordination or sensory? - Answers No —> it is all muscular
What is myasthenia crisis - Answers When it gets to the point of affected respiratory system
Neuromuscular and respiratory failure
What is a common finding in Myasthenia Gravis pt - Answers Thymi's disorder , tumor, hyperplasia
What is important education for myasthenia gravis? - Answers Taking medication on schedule, any
delay leads to emergency
May need to be intubated at any time
What medication may be given for myasthenia gravis? - Answers Pyridostigmine
(acetylcholinesterase inhibitor)
Fibromyalgia is - Answers Chronic musculoskeletal pain syndrome and because of that they usually
surer from sleep disturbances because the the pain never stops
s/s of fibromyalgia - Answers Pins and needles
Sleep disturbances
What is MS - Answers Destruction of myelin sheath around transmitters making the neurons unable
to transmit impulses