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NR 325 exam 2 (nicole_kleber) WITH COMPLETE SOLUTIONS GRADED A+ $9.49   Add to cart

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NR 325 exam 2 (nicole_kleber) WITH COMPLETE SOLUTIONS GRADED A+

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NR 325 exam 2 (nicole_kleber) WITH COMPLETE SOLUTIONS GRADED A+

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  • November 3, 2024
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mbitheeunice2015
11/4/24, 4:44 AM NR 325 exam 2 (nicole_kleber) Flashcards | Quizlet



NR 325 exam 2 (nicole_kleber)
WITH COMPLETE SOLUTIONS GRADED A+
leakage of CSF
what are s/s of head injury? Ecchymosis
Battle's sign/raccoon eyes

ensure patient airway*
what is management of head injury?
priority

If one component increases, another must decrease to maintain ICP.
what is the Monro-Kellie doctrine?
only applicable to closed skull patients*

5-15mmHg
what is normal ICP level?
>20mmHg needs treatment!!

CUSHINGS TRIAD
lethargy to coma
change in speech
What are key features of increased ICP?
cranial nerve dysfunction
seizures
abnormal posturing

elevated BP, Decreased pulse, and decreased respirations.
what is cushings triad?
KEY characteristic of increased ICP

raise head of bed


how do we manage patients leaking CSF? NO sneezing/blowing nose/bleeding


NO NG tube, nasotracheal suctioning

How do we place a patient with increased elevated HOB atleast 30 degrees
ICP?




https://quizlet.com/451406114/nr-325-exam-2-nicole_kleber-flash-cards/ 1/8

, 11/4/24, 4:44 AM NR 325 exam 2 (nicole_kleber) Flashcards | Quizlet
maintain AIRWAY*


Hyperventilate patient to "blow off" CO2 (CO2 dilates blood vessels)


Raise HOB


Decrease metabolic demands by paralyzing and sedating patient

what is the treatmet for increased ICP?
Mannitol- only diuretic given for ICP *


corticosteroids
Pain management
Intracranial monitoring (in ventricle)


Craniotomies- removes portion of skull to allow for brain to swell.
Decompressive craniectomy

what is the ONLY diuretic given for Mannitol
increased ICP?

Obesity
Heart disease
Diabetes mellitus
what are risk factors of stroke? Hypercholesterolemia
Hypercoagulable states
Cocaine, illicit drug use
Atrial fibrillation- develop into clot, clot causes stroke

absence- petit mal
what type of seizure is this?
usually occurs in children/young adolecense
daydraming seizure- staring off into space
hyperventilation and flashing lights can precipitate absence seizures

what type of seizure is this? tonic clonic- grand mal


muscle stiffening followed by JERKING.


patients will fall if they are standing

what type of seizure is this? myoclonic


contractions of body muscles; sudden
excessive jerk or twitch of extremities

what type of seizure is this? atonic


go "limp", drop attacks (fall to the ground)

what type of seizure is this? partial


simple partial, complex partial


affecting one side of the brain

seizure occuring for more than 5 minutes or recurring seizures over 30 minute
what is status epilepticus?
period




https://quizlet.com/451406114/nr-325-exam-2-nicole_kleber-flash-cards/ 2/8

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