NR 341 EXAM QUESTIONS AND ANSWERS
ACCURATE AND VERIFIED.
Medical Mgmt. ICP: What should you monitor for when administering
Dilantin/Phenytoin? What precaution should you use?
hypertensive reaction; don't push fast
Medical Mgmt. ICP: What is a neuromuscular blockade?
use of paralytics
Medical Mgmt. ICP: What medications should be used for paralytics?
Citraturia/Nimbex
Medical Mgmt. ICP: What are the drawbacks of paralytic use?
minimal neuro exams
pupils
What is a seizure?
abnormal electrical activity in the brain
What is a partial seizure?
a seizure that affects only one part or one side of the brain
What is a simple partial seizure?
partial seizure with no loss of consciousness
What is a complex partial seizure?
partial seizure with impaired consciousness
What is a generalized seizure?
affects the entire forebrain including both hemispheres of the brain
, What is status epilepticus?
lasts more than 20-30 minutes long, repetitive without periods of
consciousness, more then 3 per hour
What can status epilepticus lead to?
hypoxia, trauma, hyperthermia, hypoglycemia, aspiration, dehydration
What are the causes of status epilepticus
noncompliant with anti epileptic drugs
drug or EtOH (ethanol) withdrawal
acute brain injury
metabolic disturbances
What is the physiological response for status epilepticus?
hypertension, tachycardia, cardiac arrhythmias, hyperglycemia, hyperthermia,
lactic acidosis, and possible irreversible neuronal destruction
Status Epileptic: Collaborative Care
stay and protect patient from injury
airway and oxygenation management
neurological assessment
cardiac monitoring
Status Epileptic: What medications are administered?
benzodiazepines, anticonvulsants, barbiturates
Status Epileptic: What medication is administered as a benzodiazepine?
Lorazepam (Ativan) is first choice
Status Epileptic: What medication is administered as a first line drug?
benzodiazepine/Lorazepam
ACCURATE AND VERIFIED.
Medical Mgmt. ICP: What should you monitor for when administering
Dilantin/Phenytoin? What precaution should you use?
hypertensive reaction; don't push fast
Medical Mgmt. ICP: What is a neuromuscular blockade?
use of paralytics
Medical Mgmt. ICP: What medications should be used for paralytics?
Citraturia/Nimbex
Medical Mgmt. ICP: What are the drawbacks of paralytic use?
minimal neuro exams
pupils
What is a seizure?
abnormal electrical activity in the brain
What is a partial seizure?
a seizure that affects only one part or one side of the brain
What is a simple partial seizure?
partial seizure with no loss of consciousness
What is a complex partial seizure?
partial seizure with impaired consciousness
What is a generalized seizure?
affects the entire forebrain including both hemispheres of the brain
, What is status epilepticus?
lasts more than 20-30 minutes long, repetitive without periods of
consciousness, more then 3 per hour
What can status epilepticus lead to?
hypoxia, trauma, hyperthermia, hypoglycemia, aspiration, dehydration
What are the causes of status epilepticus
noncompliant with anti epileptic drugs
drug or EtOH (ethanol) withdrawal
acute brain injury
metabolic disturbances
What is the physiological response for status epilepticus?
hypertension, tachycardia, cardiac arrhythmias, hyperglycemia, hyperthermia,
lactic acidosis, and possible irreversible neuronal destruction
Status Epileptic: Collaborative Care
stay and protect patient from injury
airway and oxygenation management
neurological assessment
cardiac monitoring
Status Epileptic: What medications are administered?
benzodiazepines, anticonvulsants, barbiturates
Status Epileptic: What medication is administered as a benzodiazepine?
Lorazepam (Ativan) is first choice
Status Epileptic: What medication is administered as a first line drug?
benzodiazepine/Lorazepam
