1. If you flex patient’s neck forward and knee come up what is it a sign of? Bacterial meningitis 2. know the difference between decorticate and decerebrate posturing 3. Patient has ICP monitoring what are you critical nursing interventions? HOB 30 degreees, reduce external stimuli, if draining CSF maintain aseptic technique 4. Differences between supratentorial and infratentorial/ positioning 5. Patient with brain tumor has increased ICP, what is a sign of diabetes insipides? A lot of urine with decreased specific gravity and extreme thirst. 6. Patient is admitted to the floor with bacterial meningitis what are you going to do? Isolation, vitals, cultures, draw blood, start antibiotic (in order) 7. What are the three things assessed with Glasgow Coma scale? Eye opening, best physical response and best verbal response 8. When assessing LOC when do you use painful stimuli? Start with verbal then light touch and is no response then painful stimuli 9. Ataxic gait- what is affected? Cerebellum 10. What is the first sign of increased ICP in adult? LOC. teenager? Personality baby? Irritability, no eating 11. Coup counter- coup , what is priority nursing diagnosis? Increased cerebral tissue perfusion 12. If an adult has a positive babinski sign? Neurologic damage, call the Doctor 13. What do you see in a baby with hydrocephalous? Bulging fontanels, sunset eyes, high pitched cry 14. Person with ventricle peritoneal shunt, you can tells its blocked when???? 15. Patient is having a tonic-clonic seizure what do you do? no tongue blades 16. Jacksonian seizre? Twitching of eye and face 17. Status elipticus- how do you treat it? Ativan IV 18. With increased ICP why would you hyperventilate the patient? You want to lower the CO2 because that decreases blood volume hence decreasing ICP. 19. 3 ways to calculate HR. # of QRS x 10, # of little blocks x .04 and 20. Person with a-fib and BP drops, why? Lack of atrial kick, has nothing to do with HR or ventricles 21. Classic characteristics of PVC? On EKG absent P wave, wide bizarre QRS 22. Treatment for PVC’s? amioderone, if drugs don’t work= cardiac ablation 23. Causes of PVCs ? caffine drugs, smoking stress 24. Electrolyte imbalance that would cause PVC’s? low potassium 25. Aflutter with rapid ventricular response, what are the symptoms? SOB, anxiety, tachycardia, palpitations 26.
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- Spring '17
- Intracranial pressure, Traumatic brain injury, bacterial meningitis, Glasgow Coma Scale