Exam (elaborations)
NUR 2755 - MDC 4 Exam 1 Study Guide
- Course
- Institution
NUR 2755 - MDC 4 Exam 1 Study Guide /NUR 2755 - MDC 4 Exam 1 Study Guide /NUR 2755 - MDC 4 Exam 1 Study Guide
[Show more]
Seller
Follow
Ultimatenurse
Reviews received
Content preview
NUR 2755 - MDC 4 Exam 1 Study Guide 2024-2025NUR 2755 - MDC 4 Exam 1 Study Guide 2024-2025
NEURO MIGRAINES
◆SYMPTOMS
● Classic Migraine (w/ aura)
○ First/Prodrome phase
◆Aura that develops over period of several minutes and last
no longer than 1 hr
◆Transient focal neurologic dysfunction
◆Visual disturbances, flashing lights, lines or spots,
shimmering or zigzag lights
◆Numbness, tingling of lips or tongue, acute confusional state,
aphasia, vertigo, unilateral weakness, drowsiness
○ Second phase:
◆HA accompanied by N/V
◆Pain beginning in temple, increase in intensity and becomes
throbbing w/in 1 hr
○ Third phase
◆Pain changing from throbbing to dull
◆HA, N/V lasting 4-72 hrs
● Common Migraine (W/O aura)
○ Migraine before onset of HA
○ Pain aggravated by performing activities
○ Unilateral and pulsating
○ N/V, photophobia, phonophobia, HA lasting 4-72 hrs
○ Migraine in early morning, during stress, or in premenstrual
tension or fluid retention
● Atypical Migraine
○ Migrainous: HA lasting longer than 72
hrs
○ Migrainous infarction: neurologic symptoms not completely
reversible w/in 7 days
◆Ischemic infarct noted on imaging
○ Unclassified: HA not fulfilling all the criteres to be classified a
migraine
◆TREATMENT
● Abortive Therapy
○ Acetaminophen, Ibuprofen, Naproxen,
Exedrin
, ○ Triptan preparations (as soon as migraine S/S start)
◆Sumatriptan (Imitrex)
◆Eletriptan (Relpax)
◆Naratriptan (Amerge)
◆Almotriptan (Axert)
○ Ergotamine preparations
◆Cafergot (Ergotamine)
◆Dihydroergotamine (DHE)-Migranal
◆Midrin
◆MOA: constrict (vasoconstriction reduces blood flow in
cerebral arteries)
● Preventative Therapy
○ Beta Blockers: Propranolol (Inderal), Timolol
◆Do not stop abruptly
○ CCB: Verapamil (Calan)
○ AntiepilepticsL Topiramate (Topamax)
○ Tricyclic Antidepressant (Nortriptyline (Pamelor)
○ Botox
● DIETARY RESTRICTIONS (SATA)
○ Avoid tyramine-containing products (pickled products, aged
cheese, caffeine, beer/wine, preservatives, artificial sweeteners)
○ Chocolate
○ Food w/ yeast (pastry and fresh breads)
○ MSG
○ Nitrates (meats), pickled or fermented foods
○ Nuts
○ Smoked fish
○ Yogurt
➔SEIZURES
◆PHASES:
● Preictal: Events that patient experiences before a seizure (aura)
○ Feeling of something not being right or about to happen
● Postictal: Time immediately after seizure
○ Sleeping long periods after a seizure
○ Motor functions to return to baseline
● Status epileptic: Seizure lasting more than 5
min
◆TYPES:
● Tonic/clonic: Incontinence, breathing cessation followed by post-octal state
◆TREATMENT:
● Initial goal is to control seizure activity
● Ativan (during active seizure)
● Antiepileptic drugs (AED’s)
○ Phenytoin
, ●
◆Take same time everyday
◆NURSING CARE:
● Protect client privacy and from injury
● Seizure precautions (suction, pad railings)
● Position to promote airway and prevent aspiration (side)
● Be prepared to suction oral secretions
● Loosen restrictive clothing
● Do not restrain, open jaw, or insert anything into airway
● Document onset, duration, and symptoms (LOC, apnea, cyanosis, motor
activity, incontinence) prior to, during, and after
● Maintain in side-lying position post seizure
● Check VS, neuro assessment, check for injuries, reorient/calm patient
● Determine if aura was experienced and possible trigger
● Allow client to rest
Status Epileptic: (SATA)
○ Suction, bed rails up and padded, IV access
○ Nothing in mouth (tongue blade/fluids)
○ Maintain bedrest
➔CONTRAINDICATION TO CT W/ CONTRAST
◆Renal impairment/failure
◆Allergy to shellfish or iodine
➔PARKINSONS
◆STAGES:
● One: Unilateral limb involvement, minimal weakness, hand/arm trembling
● Two: bilateral limb involvement, mask like face, slow, shuffling gait
● Three: postural instability, increased gait disturbances
● Four: Akinesia, rigidity ● Five: Complete ADL dependence
◆SYMPTOMS:
● 4 Cardinal signs
○ Tremor (upper extremities first)
○ Muscle Rigidity
◆Cogwheel: rhythmic interruption of muscle movement
◆Plastic: mildly restrictive movement
◆Lead pipe: total resistance to movement
○ Bradykinesia or akinesia
○ Postural instability
○ Slow shuffling gait w/ propulsive fwd movement
○ Mask Like expression
○ Slow, monotonous speech
● Lack of dopamine interferes with movement and decreases influence of
sympathetic nervous system
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ultimatenurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
