Decreased loc seizures photophobia ataxia hemiparesis

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Decreased LOC Seizures Photophobia Ataxia Hemiparesis Tremors Coma Death
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Copyright © 2015. F.A. Davis Company Encephalitis Complications Cognitive Disabilities Personality Changes Ongoing Seizures Motor Deficits Blindness
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Copyright © 2015. F.A. Davis Company Encephalitis Diagnosis CT MRI EEG LP with CSF Analysis
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Copyright © 2015. F.A. Davis Company Encephalitis Therapeutic Interventions Analgesics Anticonvulsants Antipyretics Corticosteroids Antivirals Sedatives Neurological Assessment Symptomatic Care
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Copyright © 2015. F.A. Davis Company Increased Intracranial Pressure Pathophysiology Increase in Brain Blood CSF
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Copyright © 2015. F.A. Davis Company Increased Intracranial Pressure Etiology Brain Trauma Brain Tumor Intracranial Hemorrhage
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Copyright © 2015. F.A. Davis Company Increased Intracranial Pressure Signs and Symptoms Restlessness Irritability Decrease in LOC Hyperventilation Pupil Changes Cushing’s Response
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Copyright © 2015. F.A. Davis Company ICP Monitoring External Ventricular Drain Subarachnoid Bolt Intraparenchymal Monitor
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Copyright © 2015. F.A. Davis Company ICP Monitoring (cont’ d)
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Copyright © 2015. F.A. Davis Company Nursing Diagnoses: CNS Infections Hyperthermia Acute Confusion Self-Care Deficit Pain Disturbed Sensory Perception Impaired Physical Mobility Risk for Injury: Seizures
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Copyright © 2015. F.A. Davis Company Primary Headaches Migraine Tension Cluster Other Primary headaches
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Copyright © 2015. F.A. Davis Company Secondary Headaches Head and/or Neck Trauma Infection Other
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Copyright © 2015. F.A. Davis Company Nursing Care for Headaches Assessment Where is the pain? How does it feel? What Aggravates or Alleviates it? What Times does it occur? How bad is it on a 0–10 Scale? Useful other data? What is the Patient’s Perception?
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Copyright © 2015. F.A. Davis Company Headaches (cont’ d) Patient Education Keep Diary Record Triggers, Timing, Symptoms Teach Relaxation and Stress Reduction Teach re: Medications
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Copyright © 2015. F.A. Davis Company Seizures A seizure is defined as “abnormal electrical discharge in the brain. Seizures can be related to injury, high fever, substance abuse, metabolic disorders, and other health conditions such as diabetes, and are not always a sign of epilepsy.” (Epilepsy Foundation, 2009)
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Copyright © 2015. F.A. Davis Company Seizures Classification Partial Begin on One Side of Cerbral Cortex Generalized Both Hemispheres Involved
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Copyright © 2015. F.A. Davis Company Seizures Etiology Idiopathic No Cause Identified Acquired Underlying Neurological Disorder Brain Injury
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Copyright © 2015. F.A. Davis Company Seizures Signs and Symptoms Aura Visual Distortion Odor Sound Partial Seizures Automatisms Maintain Consciousness Usually < 1 Minute Paresthesias Visual Disturbances
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Copyright © 2015. F.A. Davis Company
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