Neuro nclex

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INCREASED ICP: maintain respiratory status and prevent hypoxia; avoid administration of morphine to prevent hypoxia; maintain mechanical ventilation as prescribed. If PaCO2 at 30 to 35 , will result in vasoconstriction of the cerebral blood vessels, decreased blood flow, and therefore decreased ICP

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Terms in this set (39)

Client positioning following removal of a bone flap for decompression: turn client from the back to the non-operative side. Positioning after a posterior fossa surgery: position the client on the five, with a pillow under the head for support, and not on the back

Client positioning following Infratentorial surgery: involves surgery below the tentorium of the brain; the HCP may prescribe a flat position without head elevation or may prescribe the head of the bed the elevated at 30 to 45°. Do not elevate head of bed in acute phase following surgery without HCP's prescription

Client positioning following supratentorial surgery: HCP may prescribe the head of bed elevated at 30° to promote venous outflow through the jugular veins. Do not lower head of bed in the acute phase of care after surgery without a HCP's prescription

Cervical Injury at C2 to C3 is usually fatal. C 4 is the major innervation to the diaphragm by the phrenic nerve. Involvement above C4 causes respiratory difficulty and paralysis of all four extremities. Client may have movement in the shoulder if the injury is at C-5 through C8, and may also have decreased respiratory reserve

Thoracic level injuries: loss of movement of the chest, trunk, bowel, bladder, and legs may occur, depending on the level of injury.

Autonomic dysreflexia: lesions or injuries above T 6 and in cervical lesions may occur. Symptoms include sweating, bradycardia, hypertension, nasal stuffiness, and gooseflesh

Lumbar and sacral level injuries: loss of movement and sensation of the lower extremities may occur. S 2 & S 3 center on my micturation; so below this level, the bladder will contract but not empty, neurogenic bladder

Injury above S2 in males allows them to have an erection, but are unable to ejaculate because of sympathetic nerve damage. Injury between S2 and as for damages the sympathetic and parasympathetic response, preventing erection and ejaculation

Tetraplegia, quadriplegia: injury occurring between C1 and C8; paralysis involving all four extremities