N/V MRI Antivirals Confusion CT scan Dexamethasone to reduce ALOC Blood/urine/throat CX cerebral edema Focal deficits – motor weakness EEG Antiepileptics Seizures Brain biopsy Pain management Bizzarre behavior Antipyretics Cerebral edema – seizures, loss of sensation, speech, hearing, consciousness Death if untreated Seizures Uncontrolled motor activity CT scan for structural Airway – lie on side Drooling problems Safety precautions Status Epilepticus Airway problems EEGs – what seizure looks Anti-epileptics – S/E, toxicity 30 minutes of seizure Aura like Sx resection activity Pupillary constriction or ISAP – location of seizure Anxiety 2+ w/o full dilation Knowledge deficit consciousness in Loss of consciousness Fear between Cyanosis Risk for Injury Respiratory/CV failure Urinary incontinence Time the seizure SPINAL CORD INJURIES CONDITION Who is at risk? Signs/Symptoms Lab/Diagnostics Nursing Management Hyperflexion MVA (sudden deceleration) Where is the level of injury – Airway and respirations injuries how much function can a pt Shock, CV problems have Hemorrhage Hyperextension Age – degenerative changes injuries MVA Umbilicus at T10 LOC – use GCS Clavicle C3-C4 Stabilize spine at level of Finger movement if injury is injury Rotational injuries Sudden impact from high-energy lower than C7 High dose glucocorticoid – trauma MVA both sides C6 and above – no hand anti-inflammatory Compression Fall from a height movement, may be able to SX management – unstable Injuries Diving into shallow pond drive a chair fracture, cord compression Age – degenerative changes T6 – lower extremities (laminectomy, fusion) Penetrating injuries Projectile injury affected Skin breakdown prevention Bowel/bladder/sexual fxn Assess for autonomic dysreflexia, manage Psychosocial changes Rehab: Motor function Communication Then:
N/V Confusion ALOC Focal deficits – motor weakness Seizures Bizzarre behavior Cerebral edema – seizures, loss of sensation, speech, hearing, consciousness Death if untreated MRI CT scan Blood/urine/throat CX EEG Brain biopsy Antivirals Dexamethasone to reduce cerebral edema Antiepileptics Pain management Antipyretics Seizures Status Epilepticus 30 minutes of seizure activity 2+ w/o full consciousness in between Respiratory/CV failure Uncontrolled motor activity Drooling Airway problems Aura Pupillary constriction or dilation Loss of consciousness Cyanosis Urinary incontinence CT scan for structural problems EEGs – what seizure looks like ISAP – location of seizure Airway – lie on side Safety precautions Anti-epileptics – S/E, toxicity Sx resection Anxiety Knowledge deficit Fear Risk for Injury Time the seizure SPINAL CORD INJURIES CONDITION Who is at risk? Signs/Symptoms Lab/Diagnostics Nursing Management Hyperflexion injuries MVA (sudden deceleration) Where is the level of injury – how much function can a pt have Umbilicus at T10 Clavicle C3-C4 Finger movement if injury is lower than C7 C6 and above – no hand movement, may be able to drive a chair T6 – lower extremities affected Airway and respirations Shock, CV problems Hemorrhage LOC – use GCS Stabilize spine at level of injury High dose glucocorticoid – anti-inflammatory SX management – unstable fracture, cord compression (laminectomy, fusion) Skin breakdown prevention Bowel/bladder/sexual fxn Assess for autonomic dysreflexia, manage Psychosocial changes Rehab: Motor function Communication Then: Hyperextension injuries Age – degenerative changes MVA Rotational injuries Sudden impact from high-energy trauma MVA both sides Compression Injuries Fall from a height Diving into shallow pond Age – degenerative changes Penetrating injuries Projectile injury