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components of basic neuro assessment
loc, orientation, motor response (weakness, tremmors, paresis, speech)
care of pt post lumbar puncture
prone, pillow under abd 1 hr, remain flat 4 few hrs, inc fluids to replace csf
critera for cerebral death
eeg flat line, no cerb blood flow, no response to pain, flaccid muscles, no brainstem reflexs, pupils fixed
NI's for ICP
improve ventilation: mild hyperventilation keeps slightly alkalatioc to help constrict bv's
meds used for ICP
manitol-osmo diuresis, lasix- lowers csf prod and diuresis, dilantin-antio convulsant, phenobarb-anti seiz
bleeding btwn skull and dura. Brief loss of loc then alertness regained for a few 2 24 hrs then coma and death
S/S of autonomic hyperflexia
profuse sweating, flushing and blotchiness above injury, inc B/P, HA, nasal stuffiness. pale and cool below level of inj
What is spinal shock
sympathetic NS pathways are blocked by the injury unable to vasoconstrict below level of inj, vessels vasodilate causing vasogenic shock
Symptoms of Right CVA
left paralysis, socially innappropriate, poor judgment, impulse motor performance, denies deficits, left side neglect
Left CVA symptoms
intellect & language impairment, thought process not imparied just mechanics, Right side neglect and weakness, depression, frustration
complications of caratoid endarterctomy
cerebral embolus, neck hemotoma, crainal nerve damage and rupture
early chronic phase of aids
aprox 11 yrs, cd4= greater than 500, asymptomatic, low grade fever, night sweats
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