Nicola Shared "Exam 3" - 45 Picmonics
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Exam 3
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
Seizure Precautions
- Reduce Environmental Stimuli
- Identify Triggers
- Aura
- Pad Side Rails
- Bed Lowest Position
- Oxygen and Suction Available
- Consideration
- Monitor Therapeutic Drug Levels
2 mins
Types of Seizures
- Tonic-Clonic
- Tonic
- Clonic
- Absence (Petit Mal)
- Myoclonic
- Atonic
- Partial (Focal) Seizure
- Focal Aware (Formerly Called Simple Partial)
- Focal Impaired Awareness (Formerly Called Complex Partial)
3 mins
Types of Strokes
- Warning Signs
- Transient Ischemic Attack (TIA)
- Reversible Ischemic Neurologic Deficit (RIND)
- Types
- Ischemic
- Thrombotic
- Atherosclerosis
- Embolic
- Atrial Fibrillation
- Hemorrhagic
- Severe Hypertension
3 mins
Types of Head Injuries
- Open Head Injury
- Linear Fracture
- Comminuted Fracture
- Depressed Fracture
- Open Fracture
- Basilar Skull Fracture
- Closed Head Injury
- Coup and Contrecoup
- Brain Contusion
- Concussion
2 mins
Traumatic Brain Injury Assessment
- Assessment
- Change in LOC
- Personality Changes
- Amnesia
- Increased Intracranial Pressure
- Diplopia
- Posturing
- Location of Injury
- Basilar Skull Fracture
- Halo or Ring Sign
- Considerations
- Intracranial Bleeding
2 mins
Increased Intracranial Pressure (ICP) Assessment
- Change in LOC
- Headache
- Cushings Triad
- Irregular Respirations
- Widening Pulse Pressure
- Bradycardia
- Projectile Vomiting
- Abnormal Pupils
- Papilledema
- Posturing
2 mins
Increased Intracranial Pressure (ICP) Interventions
- Interventions
- Elevate Head Of Bed
- Foley Catheter
- Mannitol (Osmitrol)
- High Dose Barbiturates
- Passive Hyperventilation
- Dexamethasone (Neoplasm or Infection)
- Considerations
- Neuro Assessment
- Maintain Normal Temperature
- Avoid Activities That Increase ICP
- Intracranial Monitoring System
2 mins
Right Hemisphere Stroke Assessment
- Opposite Side Weakness (Hemiplegia)
- Poor Proprioception
- Disoriented to Person, Place, Time
- Can't Recognize Faces (Prosopagnosia)
- Loss of Judgement and Awareness
- Impulsiveness
- Personality Changes
- Tonal Hearing Loss
2 mins
Left Hemisphere Stroke Assessment
- Opposite Side Weakness (Hemiplegia)
- Side to Side Discrimination
- Aphasia
- Agraphia
- Slow Performance
- Aware of Deficits
- Anxiety
- Depression
2 mins
Hydrocephalus
- Cause
- Increased CSF in Ventricles of Brain
- Assessment
- Signs of Increased ICP
- Infant Assessment
- High Pitched Cry
- Irritability
- Opisthotonus
- Increased Head Circumference
- Bulging Fontanel
- Setting Sun Sign
- Interventions
- Seizure Precautions
- Elevate HOB
- CSF Shunt
2 mins
Lesions of the Brain and Presentations
- Lesions of the Brain and Presentations
- Frontal Lobe
- Parietal Lobe
- Temporal Lobe
- Occipital Lobe
- Brainstem
- Cerebellum
- Main TBI Lesions
- Epidural Hematoma
- Subdural Hematoma
- Contusion/ Parenchymal Hemorrhage
- Intraventricular Hematoma
- Subarachnoid Hemorrhage
- Diffuse Axonal Injury
3 mins
Concussion
- Cause
- Brain Trauma
- Pathophysiology
- Neurometabolic Cascade
- Signs & Symptoms
- Visual Disturbances
- Cognitive Dysfunction
- Sleep Disturbances
- Emotional Instability
- Diagnosis
- Sport Concussion Assessment Tool 5th Edition (SCAT5)
- Diagnostic Imaging
- Treatment
- Physical and Cognitive Rest
- Monitored Exercise
- Vestibular Rehabilitation
- Considerations
- Second Impact Syndrome
4 mins
Aphasia Post Stroke
- Causes
- Cerebrovascular Accident
- Non-Fluent Aphasia
- Broca’s Aphasia
- Fluent Aphasia
- Wernicke’s Aphasia
- Other Types of Aphasia
- Global Aphasia
- Conduction Aphasia
- Verbal Apraxia
- Dysarthria
- Diagnosis
- Cerebral Angiography
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- Intervention
- Simple Short Sentences
- Visual and Tactile Cues
- Speech Therapy
4 mins
Rancho Los Amigos Levels of Cognitive Functioning Scale
- Total Assistance
- Level I - No Response
- Level II - Generalized Response
- Level III - Localized Response
- Maximal Assistance
- Level IV - Confused/Agitated
- Level V - Confused, Inappropriate Non-Agitated
- Moderate Assistance
- Level VI - Confused, Appropriate
- Minimal Assistance for Daily Living Skills
- Level VII - Automatic, Appropriate
- Stand-By Assistance
- Level VIII - Purposeful, Appropriate with Stand-by Assistance
- Stand-By Assistance on Request
- Level IX - Purposeful, Appropriate with Stand-by Assistance on Request
- Modified Independent
- Level X - Modified Purposeful, Appropriate
- Mnemonic
- No General Localizes Aggresively Inappropriate Apples Automatically on Purpose
4 mins
Middle Cerebral Artery
- Contralateral paralysis upper limb and face
- Contralateral loss of sensation of upper limb and face
- Affects Wernicke's area and Broca's area
- Aphasia if Lesion in Dominant (Left) Hemisphere
- Hemineglect if lesion in nondominant (right) hemisphere
1 min
Anterior Cerebral Artery
- Contralateral paralysis of lower limb
- Contralateral loss of sensation in lower limb
1 min
Endocarditis Assessment
- Infection of Inner Layer and Valves
- Assessment
- Fever
- Fatigue
- New or Changed Murmurs
- Roth's Spots
- Splinter Hemorrhages
- Janeway Lesions
- Osler's Nodes
- Considerations
- Heart Failure
- Embolization
2 mins
Endocarditis Interventions
- Interventions
- IV Antibiotics
- 4-6 Weeks
- Anticoagulants
- Good Hygiene
- Considerations
- Closely Monitor
- Antibiotic Prophylaxis
- Dental Procedures
- Invasive Procedures
1 min
Acute Pericarditis Assessment
- Pericardial Sac Inflammation
- Assessment
- Sharp Chest Pain
- Increased with Inspiration
- Pain Decreased by Leaning Forward
- Pericardial Friction Rub
- Diffuse ST-Elevation
- T Wave Inversion
- Fever
- Considerations
- May Be Asymptomatic
- Cardiac Tamponade
2 mins
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