Multidimensional Care IV MDC 4 Exam 3 Review-Contains 120 Q&A. Score 100% .NUR2755 / NUR 2755

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NUR2755 / NUR 2755 Multidimensional Care IV / MDC 4 Exam 3 Review (Latest 2021 / 2022) Rasmussen NUR2755 / NUR 2755 Multidimensional Care IV / MDC 4 Exam 3 Review (Latest 2021 / 2022) Rasmussen... written by a-grade www.stuvia.com Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegal1. 2. 3. muscle weakness increase uncordination confusion apathy incoherence decreased clotting Pneumothorax interventions MS physical assessment Frsotbite physical assessment Moderate hypothermia symptoms worst headache ever subarachnoid hemorrhage symptom Spinal Cord Injury Intervention Right hemisphere stroke changes Guillian Barre Syndrome patho infection vaccine autoimmune ARF ABG's 1 of 45 4/6/2021, 10:31 PM MDC 4 exam 3 NUR2755 / NUR 2755 Multidimensional Care IV / MDC 4 Exam 3 Review (Latest 2021 / 2022) Rasmussen Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 4. 5. 6. GBS causes ARDS Phases MG causes comprehensive head to toe diagnostic labs insertion-GI tube, cath temporary dressing splints to fractures Secondary survey P.E. Intervention decoricate posture ARF oxygenation nonpurposeful, stereotyped, and repetitive behaviors that commonly accompany focal impaired awareness seizures (in the semiologic classification, they define automotor seizures). The behavior is inappropriate for the situation. Patients are usually amnestic to their automatisms. complex/automatism seizure seizure phase Prodomal Seizure phase post ictal tonic-clonic seizure (grand mal) stereotactic pallidotomy- destroy a portion of the globus pallidus, and thereby, decrease patients' muscle rigidity from Parkinson's disease DBS-uses electrical stimulation to modulate these control centers deep to the surface of the brain, improving communication between brain cells. This helps to reduce symptoms such as tremor, slowness, and stiffness. 2 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 7. 8. 9. Parkinson's surgical treatment Heat exhaustion interventions Parkinson's lab tests Parkinson's 4 cardinal symptoms CSF mahave low dopamine MRI or SPECT to rule out other brain conditions Parkinson's drug treatment MG non-surgical interventions Parkinson's lab tests ARF interventions lack of meds, give a med and see if it helps Myasthenic crisis Cushing triad Myasthenia Gravis patho Non urgent triage complete- no function below injury incomplete-some function below injury Spinal cord injury complete vs incomplete Spinal Cord Injury Intervention 3 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 10. 11. 12. Triage rules HEat stroke prehospital interventions Tonic-clonic tonic clonic myoclonic atonic Multiple sclerosis patho Generalized Seizures types Seizure Diagnostic testing Severe hypothermia symptoms could wait several hours and survive ex. rash strains and sprains colds simple fractures Non urgent triage ARF interventions Myasthenic crisis Vent care ABC's peripheral pulses and cap refill hemmorage check Glascow coma scale spinal shock- loss of motor, reflexes 4 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 13. 14. assess mobility/function assess bowel activity Spinal cord injury physical assessment Stroke Risk factors non modifiable Causes fo seizures secondary Heat stroke hospital interventions thyroid function SPEP AChR antibodies chest xray/ct RNS EMG Tensilon test MuSK antibodies parkland formula MG lab diagosis ARF oxygenation MG causes sudden rise in BP with Bradycardia profuse sweating above injury flushing of skin blurred/spots in vision nasal congestion severe, throbbing headache Clonic seizures Shock drugs 5 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 15. 16. autonomic dyreflexia Autonomic Dysreflexia causes Rapid ID-hemmy or ischy CT scan Glucose stick Give ateplase if ischy ICU frequent vitals Hemmy-prep for surgery Stroke Initial assessment Severe hypothermia symptoms Stroke emerency interventions Heat exhaustion interventions dyspnea low O2 irritable confused tachycardia decreased loc headache drowsy GBS physcial assessment ARDS physical assessment Glascow coma scale scores Mass causualty triage tags 6 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 17. 18. 19. ulcers-PPI-dine H2 blocker prazole enteral feeding electrolyte replace Heat exhaustion interventions Frsotbite physical assessment Mass causualty triage tags Vent complications and prevention sudden dyspnea sharp stabbing chest pain anxiety cough tychypnea crackles pleural friction rub s3 or s4 sounds diaphoresis fever decreased SaO2 Pneumothorax interventions Plasmaphersis watch out for ARDS Physcial Assessment P.E. physical assessment prevent heat loss warm up no booze blankets supine space out meds withhold IV meds until core temp 86 or higher monitor for vfib 7 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 20. 21. 22. rewarm trunk P.E. Intervention Severe hypothermia symptoms autonomic dyreflexia Hypothermia interventions abnormal posturing in which a person is stiff with bent arms, clenched fists, and legs held out straight Increased ICP symproms MS Lab diagnostics decoricate posture ARDS Interventions Preventative: Avonex Betaseron Copaxon Acute-steroids and baclofen Shock drugs MS Drugs Cushing triad ARF ABG's distorted acetylcholine receptors 8 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 23. 24. hyperplasia of thymus gland ARDS Phases GBS causes MG causes P.E. Surgery tumor or trauma metabolic disroders acute alchohol withdrawl electrolyte imbalance fever stroke TBI substances heart disease Causes fo seizures secondary Stroke emerency interventions Severe hypothermia symptoms Causes of seizures Primary idiopathic genetic factors Generalized Seizures types Causes of seizures Primary partial seizure types 9 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 25. 26. 27. Causes fo seizures secondary thymectomy Anaphylaxis bee treatment MG non-surgical interventions P.E. physical assessment MG surgical intervention tremor muscle rigidity bradykinesia or askinesia (slow or no movement) postural instability Parkinson's surgical treatment Parkinson's Physcial assessment Parkinson's 4 cardinal symptoms Parkinson's drug treatment vagal nerve stimulation-prevents seizures by sending regular, mild pulses of electrical energy to the brain via the vagus nerve. It is sometimes referred to as a "pacemaker for the brain." A stimulator device is implanted under the skin in the chest. A wire from the device is wound around the vagus nerve in the neck. Brain resection/corpus callosotomy-palliative surgical procedure for the treatment of medically refractory epilepsy. In this procedure the corpus callosum is cut through in an effort to limit the spread of epileptic activity between the two halves of the brain. Seizure surgcial management seizure phase Prodomal 10 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 28. 29. 30. Left hemisphere stroke changes Parkinson's surgical treatment myalgia headaches anaphylaxis asepetic meningitis IVIG complications Left hemisphere stroke changes GBS lab diagnosis Heat exhaustion symptoms needs quick treatment, but not immediately life threatening ex. severe ab pain renal colic complex or multicple bruises displace or multiple fractures new onset respiratory infection (pneumonia) ARDS Phases Triage Urgent Decrebate posture Flail chest decide who get a room when highest acuity gets a room first MG causes 11 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 31. 32. Spinal cord injury complete vs incomplete Triage rules Vent bundle increased work of breathing hypercapnea noisy respirations cyanosis pallor retractions sweating change in LOC lung sounds normal ARDS Physcial Assessment GBS lab diagnosis ARDS Interventions Severe hypothermia symptoms age gender history race- native, black, latino Myasthenia Gravis patho Parkinson's 4 cardinal symptoms Stroke Risk factors non modifiable Multiple sclerosis patho 12 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 33. 34. 35. begins on both sides of the brain, but can start in one side and spread to the whole brain. A person loses consciousness, muscles stiffen, and jerking movements are seen. These types of seizures usually last 1 to 3 minutes and take longer for a person to recover. Difference between decerebrate and decorticate posturing seizure phase Prodomal Autonomic Dysreflexia causes tonic-clonic seizure (grand mal) small handwriting freezing rigidity masked faces difficult chewing/swallowing orthostatic hypotension soft speech urinary incontinence Stroke Risk factors modifiable Parkinson's Physcial assessment Increased ICP interventions Spinal cord injury physical assessment poor judgement lack of awareness visual deficits and neglect left sided weakness HEat stroke prehospital interventions Right hemisphere stroke changes 13 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 36. 37. 38. Heat exhaustion interventions Increased ICP interventions fatigue stress overexertion temperatures Seizure Phases MS aggravators MG lab diagosis MS Lab diagnostics within 3-4.5 hours of initial onset not a massive stroke over 2/3 of a hemisphere CT done glucose stick done/rule out hyperglycemia BP below 185/110 Hypothermia interventions autonomic dyreflexia When to give ateplase P.E. Intervention post infection, pregnancy anesthesia period of exacerbation temp weakness after vaccine, menstration, change in temp worsening of symptoms with repetitive movement drooping eyelids dysphagia voice weakens with use 14 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 39. 40. 41. MS physical assessment MG physcial assessment GBS physcial assessment Myoclonic seizures shivering dysarthia (slurred speach) drunk diuresis Moderate hypothermia symptoms Stroke Initial assessment Myasthenia Gravis patho Mild hypothermia symptoms brief shock-like jerks of a muscle or group of muscles. They occur in a variety of epilepsy syndromes that have different characteristics. During a myoclonic seizure, the person is usually awake and able to think clearly. Myoclonic seizures MS physical assessment Spinal cord injury complete vs incomplete Decrebate posture life threatening ex. respiratory distress 15 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 42. 43. chest pain with sweating stroke active hemmorhage unstable vital signs Triage Emergent Triage Urgent Spinal cord injury complete vs incomplete ARDS Interventions body heat to rewarm prehospital hospital rapid rewarm in water bath opiod analgesics ibuprofen for inflammatory cascade elevate above heart after rewarming debridement of tissue in higher degree frostbite Frostbite interventions Frostbite degrees autonomic dyreflexia ARDS Physcial Assessment B-balance E-Eyes F-face A-arms S-speech T-time Stroke Risk factors non modifiable Heat exhaustion symptoms 16 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 44. 45. Seizure Diagnostic testing Stroke Initial assessment It's the time from the first symptom to the end of the seizure activity. It is during this time that intense electrical activity is occurring in the brain. Some common signs of this phase include: Loss of awareness Memory lapse Felling confused Difficulty hearing Odd smells, sounds or tastes Difficulty speaking or saying strange words Twitching Loss of muscle control Repeated movements (such as lip smacking or chewing) Body convulsions Racing heart Trouble breathing Frostbite degrees Seizure surgcial management Tonic Seizure seizure phase ictal muscles suddenly become limp. Part or all of the body may become limp Autonomic Dysreflexia causes Seizures (Epilepsy) ARF vent Atonic 17 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 46. 47. 48. often mistaken for each other, HD has choreiform or jerky movements Spinal cord injury complete vs incomplete Huntington's vs. Parkinson's Right hemisphere stroke changes Glascow coma scale scores RRT elevate HOB O2 ABG's assess respiratory/cardiac status imaging anticoagulations IV fluids hypotension-norepi, dobutamine, nitroprusside MS Lab diagnostics P.E. Intervention Decrebate posture When to give ateplase occurs after the active part of the seizure. This is the recovery stage and during this phase any physical after effects of the seizure are felt. The type of seizure and the part of the brain involved will determine how long it takes for a person to return to their usual self. Some common signs of this phase include: Confusion Lack of consciousness Tiredness (fatigue) Exhaustion Headache Loss of bladder or bowel control Fear and anxiety Frustration 18 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 49. 50. Shame or embarrassment Thirst Nausea Sore muscles Weakness in parts of the body Injury (head, cuts, broken bones) Seizure Phases Seizure phase post ictal seizure phase ictal seizure phase Prodomal body temp over 104 hot dry skin mental status changes:confusion, bizarre behaviors, anxiety, drunk, agitation, seizures, coma hypotension tachycardia tachypnea electrolyte imbalance decreased renal function abnormal clotting crackles Decrebate posture seizure phase Prodomal Seizures (Epilepsy) Heat stroke symptoms too much meds Anaphylaxis bee treatment Non urgent triage 19 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 51. 52. 53. Cushing triad Cholinergic crisis epi then O2 MG surgical intervention Heat exhaustion symptoms ARDS physical assessment Anaphylaxis bee treatment Seizure lasting longer than 5 minutes or repeated seizures over 30 min. Medical emergency give a pam IV phenytoin Status epilepticus Myoclonic seizures Rule of nine Seizures (Epilepsy) HOB above 30 oral care q 2 ulcer prophylaxis pulmonary hygiene Seizure Phases MG causes 20 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 54. 55. 56. Vent bundle P.E. Surgery vent/intubation-PEEP assess and suction frequently prone positioning antibiotics prn conservative fluid therapy nutrition asap GBS lab diagnosis P.E. Intervention parkland formula ARDS Interventions rest in a cool place cold pack on neck, ab, groin soak in cool water rehydrate with electrolytes Stroke emerency interventions Parkinson's 4 cardinal symptoms Heat exhaustion interventions Plasmaphersis watch out for life-threatening medical condition that occurs when a segment of the rib cage breaks due to trauma and becomes detached from the rest of the chest wall. Two of the symptoms of flail chest are chest pain and shortness of breath. 21 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 57. 58. ARDS Phases Flail chest seizure phase Prodomal Vent care HTN Diabetes hyperlipidemia obestiy sedentary lifestyle oral contraceptive use smoking excessive alcohol atrial fibrillation Severe hypothermia symptoms Stroke Initial assessment Stroke Risk factors modifiable Stroke Risk factors non modifiable cool patietn down remove clothing cold water on body fan ice packs HEat stroke prehospital interventions Bee sting treatment Frsotbite physical assessment 22 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 59. 60. 61. Left hemisphere stroke changes HOB elevate O2 over 94% head neutral position no sudden movements no cluster of cares low stimulation Increased ICP interventions MG non-surgical interventions Multiple sclerosis patho Severe hypothermia symptoms sepsis burns pancreatitis trauma transfusion TRALI SIRS P.E. Surgery GBS causes Cushing triad ARDS Causes oxygen doesn't get into lungs, airway issue ARF interventions ARDS Causes 23 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 62. 63. 64. Shock treatment ARF vent respiratory assessment suctioning physiotherapy activity after meds protect eyes Heat exhaustion interventions ARDS physical assessment Stroke emerency interventions MG non-surgical interventions temporary stroke that leaves no mark behind TIA patho MS Drugs Types of MG Spinal shock parethsesias muscle weakness loss of reflexes in arms/legs low BP/ poor BP control muscle weakness without muscle atrophy uncoordinated movements blurred vision palpations decreased respiratory function 24 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 65. 66. 67. When to give ateplase ARDS Physcial Assessment GBS physcial assessment Parkinson's drug treatment superficial cold injury pain, numbness, waxy no tissue damage Frostnip ARF vent ARDS Causes ARF ABG's ABCDE Triage Urgent Primary survey TIA symptoms Simple seizure O2 keep PaO2 above 60 bronchodilators roids vent diruetics PRN 25 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 68. 69. upright position energy-conservation parkland formula GBS interventions ARF interventions ARDS Interventions first-hyperemia, edema second-clear to milky fluid filled blisters iwth partial thickness skin necrosis thrird-small blisters with dark fluid affected body part cool numb blue or red no blanch fourth no blisters or edem, cold, bloodless gangrene can develop Simple seizure Frostbite degrees GBS lab diagnosis ARF interventions flu-like headache heavy sweating Anaphylaxis bee treatment Heat exhaustion symptoms Seizure Diagnostic testing ARDS Physcial Assessment 26 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 70. 71. 72. O2, intiibation PRN 1 large bore IV NS cooled preferably cooling blanket rectal temp q15 indwelling urinary cath frequent vitals labs-electrolytes, cardiac enzymes, liver enzymes, stop shivering stop cooling when body is at 102 HEat stroke prehospital interventions Heat stroke hospital interventions tonic-clonic seizure (grand mal) Heat exhaustion interventions air gets into lungs but not into blood, right to left shunting of blood in pulmonary vessels (ARDS) Secondary survey decoricate posture ARF oxygenation Cushing triad bring to floor roll on side clear objects away observe and documetn loosen clothing if restrictive oral suction in mouth PRN Seizure interventions prevent injury 27 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 73. 74. 75. tonic-clonic seizure (grand mal) Spinal cord injury physical assessment Frostbite interventions Bladder distention/UTI constipation Pain, tempurature fluxuations GI,GU vascular stimulation Plasmaphersis watch out for Autonomic Dysreflexia causes Causes fo seizures secondary Moderate hypothermia symptoms hypotension bradycardia poikilothermia within 30 min of injury can be congruent with spinal shock neurogenic shock ARF interventions Non urgent triage Secondary survey CSF-increased protein, lymphocytes normal EMG-normal early changes after 4 weeks CT/MRI rule out GBS lab diagnosis 28 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 76. 77. 78. ARDS Physcial Assessment ARF oxygenation GBS physcial assessment vasoconsrictors dopamine, nor epi Inotropic agents (increase heart contraction)- dobutamine, milirone Myocardial perfusion enhancers-nitroprussides Cushing triad TIA symptoms MS Drugs Shock drugs no pull at tube monitor vitals, respiratory status, ABG's HOB above 30 degrees check vent settings regularly Mouth care q 2 monitor for weaning Tonic Seizure Vent bundle Non urgent triage Vent care arms and legs being held straight out, the toes being pointed downward, and the head and neck being arched backward. The muscles are tightened and held rigidly. This type of posturing usually means there has been severe damage to the brain. 29 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 79. 80. 81. decoricate posture Clonic seizures Decrebate posture parkland formula mild and stable-none chest tube needle throacostomy immediate if tension pain control pulmonary hygeine Heat exhaustion interventions Plasmaphersis watch out for Pneumothorax interventions Parkinson's Physcial assessment gas exchange is reduced due to ventilation or oxygenation or both issues ARF ARF interventions Atonic ARF vent During the this stage some people can tell when a seizure is on its way. They may notice some early signs hours or even days before the seizure starts. Not all people experience this stage. Some common signs can include: Mood changes Anxiety 30 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 82. 83. Feeling lightheaded Difficulty sleeping Difficulty staying focused Behaviour changes. Heat stroke symptoms Seizure phase post ictal Seizure Phases seizure phase Prodomal language deficits anxiety/depression right sided weakness Guillian Barre Syndrome patho Right hemisphere stroke changes Left hemisphere stroke changes Vent complications and prevention seizuer-sudden uncontrolled electrical discharge of neurons epilepsy-2 or more seizures Secondary survey Non urgent triage decoricate posture Seizures (Epilepsy) 31 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 84. 85. 86. 87. 4xburned areaxkg 1/2 in first 8 hours other half in next 16 from burned time not treatment time. neurogenic shock parkland formula Decrebate posture Clonic seizures visual-blurred vision, diplopia, blindness in one eye, tunnel vision mobility-unilateral weakness and ataxia sensory-unilateral numbness speech-aphasia, dysarthria Tonic Seizure Shock drugs ARDS Phases TIA symptoms autoimmune disease muscle weakness Seizure Diagnostic testing Myasthenia Gravis patho partial seizure types autonomic dyreflexia SBP + 2(DBP)/3 32 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 88. 89. MAP equation Cushing triad ARDS Causes Types of MG Phenytoin (Dilantin, Phenytek) (most widely used) • Fosphenytoin (Cerbryx) • Carbamazepine (Tegretol, Tegretol XR, Tegretol-CR image, Carbatrol) • Oxcarbazepine (Oxtellar, Trileptal) • Lamotrigine (Lamictal) • Valproic acid (Depakote, Depakoke ER, Epival image) • Primidone (Mysoline) • Gabapentin (Neurontin) • Pregabalin (Lyrica) • Levetiracetam (Keppra) • Topiramate (Topamax) • Ezogabine (Potiga) (first approved potassium channel opener drug approved for adjunctive management of partial-onset seizures) seizure phase ictal Difference between decerebrate and decorticate posturing seizure interventions medications Preventative Seizure surgcial management -Remove stinger -Ice or cool water compress -Antihistamine (oral or topical) Frsotbite physical assessment Bee sting treatment 33 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 90. 91. 92. decoricate posture Myasthenia Gravis patho decreased reflexes, loss of sensation, and flaccid paralysis below the level of injury immediately with injury can be with neurogenic shock ARDS Physcial Assessment Secondary survey Increased ICP symproms Spinal shock body tissue freezes, like a burn can be superficial partical or full thickness Frsotbite physical assessment HEat stroke prehospital interventions Frostbite interventions Bee sting treatment reduced breath sounds on affected side prominence of involved side of chest deviated trachea if tension distended neck veins Severe hypothermia symptoms pneumothorax physical assessment Heat exhaustion interventions 34 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 93. 94. 95. Pneumothorax interventions exudative-early dyspnea and tachycardia fibroproliferative- lung injury, pulmonary HTN, fibrosis, reduced gas exchange, MODS REsolution after 14 days die or recover ARDS Phases Shock drugs ARDS Physcial Assessment Vent care acute inflammation of axons or myelin of PNS Guillian Barre Syndrome patho Multiple sclerosis patho Myasthenic crisis Heat exhaustion interventions Decorticate posturing — a sign of severe damage to the brain — is a specific type of involuntary abnormal posturing of a person. ... decerebrate posturing, better where arms and legs are straight and rigid, toes are pointed downward, and head is arched backward. Parkinson's surgical treatment Increased ICP symproms Difference between decerebrate and decorticate posturing 35 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 96. 97. 98. Heat stroke hospital interventions choliesterase inhibitors-pyridostigmine immunosuppressant-methotrexate, rituximab, steroids IVIG for acute treatment MG drug intervention autonomic dyreflexia ARDS Interventions P.E. Intervention sign of increased ICP -Widening of pulse pressure, -Slowing HR -severe HTN Vent bundle Cushing triad Bee sting treatment ARF oxygenation A simple partial seizure will affect only one area of your brain. It doesn't cause you to lose consciousness Simple seizure decoricate posture ARF interventions 36 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 99. 100. 101. parkland formula sinement-carbadopa/levadopa (stimulate dopamine receptors) COMT Inhibitor-Entacapone (prolong action of levodopa) MAOIS-rasagiline mesylate (increase dopamine concentration) Dopamine receptor agonists- Bromocriptine mesylate (promote dopamine release) Antiviral-amantadine Pneumothorax interventions Parkinson's 4 cardinal symptoms Parkinson's drug treatment Hypothermia interventions a sudden stiffness or tension in the muscles of the arms, legs or trunk. The stiffness lasts about 20 seconds and is most likely to happen during sleep. Tonic seizures that occur while the person is standing may cause them to fall. After the seizure, the person may feel tired or confused Tonic Seizure TIA symptoms tonic-clonic seizure (grand mal) Spinal shock airway management (especially above T-6) Vent PRN manage secretions cough assist (quad cough) maintain hydration spinal immobilization skin integrity prevent DVT manage spasicity- tizadidine, baclofen Frostbite interventions 37 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 102. 103. 104. tonic-clonic seizure (grand mal) Heat stroke hospital interventions Spinal Cord Injury Intervention O2 and concerative fluids Shock treatment Shock drugs Non urgent triage Heat exhaustion symptoms Ocular-eyes generalized-throughout body Spinal shock Types of MG Simple seizure ARDS Causes bradycardia hypotension decreased RR cardiac dysrythmias decreased neurologic reflexes decreased pain response acid-base imbalance Plasmaphersis watch out for 38 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 105. 106. 107. Stroke Risk factors modifiable Severe hypothermia symptoms pneumothorax physical assessment Minor 12-15 Moderate 9-12 severe-3-8 below 8 prepare to intibate Glascow coma scale scores Causes of seizures Primary HEat stroke prehospital interventions ARDS physical assessment repeated jerking movements of the arms and legs on one or both sides of the body, sometimes with numbness or tingling. If it is a focal (partial) seizure, the person may be aware of what's happening. During a generalized seizure, the person may be unconsciou Flail chest Clonic seizures TIA symptoms Simple seizure embolectomy-removal of embolist IVC filter- short term fix to block the embolist from reaching the lungs 39 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 108. 109. Cushing triad Shock drugs P.E. Surgery ARDS Phases decreased LOC restlessness, irritability and confusion headache nausea/vomiting change in speech pupillary changes ataxia seizuers cushing triad posturing GBS physcial assessment Increased ICP symproms MS Lab diagnostics Parkinson's lab tests muscle weakness and spasticity fatigue intention tremor dysmetria (inability to direct movement) Numbnesss ataxia-decreased coordination dysarthria dysphagia diplopia nystagmus tinitius/hearing loss cognitive changes depression 40 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 110. 111. 112. ARDS physical assessment MS physical assessment GBS physcial assessment P.E. physical assessment temp over 104 emergency Cholinergic crisis HEat stroke prehospital interventions GBS interventions Heat stroke patho determine surface area of body head=9 each arm=9 each leg=18 torso=36 Seizure Phases MG causes neurogenic shock Rule of nine PaO2 less than 60 SaO2 is less than 90 41 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 113. 114. 115. TIA patho ARDS Causes Vent bundle ARF ABG's prodromal, aural, ictal, postictal Seizure phase post ictal Seizure Phases Simple seizure Seizure Diagnostic testing demyelination and axonal nerve damage Multiple sclerosis patho partial seizure types Stroke Initial assessment Generalized Seizures types end-tidal CO2 and x-ray verify tube placement on vent Heat stroke patho 42 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 116. 117. 118. Left hemisphere stroke changes Stroke Initial assessment EEG CT/MRI SPECT/PET metabolic labs Generalized Seizures types Seizure phase post ictal Seizure Diagnostic testing Hypothermia interventions green-nonurgent yellow-urgen red emenergent black-ignore probably gonna die Guillian Barre Syndrome patho Mass causualty triage tags Stroke Initial assessment Heat exhaustion interventions complex/automatisms simple Causes of seizures Primary Generalized Seizures types 43 of 45 4/6/2021, 10:31 PM Downloaded by: helena_zavala | helena_zavala@yahoo.com Distribution of this document is illegalStuvia.com - The Marketplace to Buy and Sell your Study Material 119. 120. 121. partial seizure types MG surgical intervention Plasmapherisis IVIG GBS interventions GBS lab diagnosis MG drug intervention P.E. Intervention monitor for hypocalemia [Show More]

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