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NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 3 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
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NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 3 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
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NURS 4700 NURSING CONCEPTS ANDINTERVENTIONS EXAM 3 STUDY GUIDE RATED
A MARQUETTE UNIVERSITY
,Nursing interventions for seizures
✔✔1. Wear helmet to avoid risk of head injury
2. Assist to identify events that precipitate seizures
3. Avoid alcohol, fatigue, loss of sleep
3. Observe and maintain seizure: patent airway, support head, turn to
side, easy to floor
What is Guillain-Barre Syndrome? Sx?
✔✔-Definition: acute, rapidly progressing, and potentially fatal form of
polyneuropathy; affects the PNS and results in loss of myelin, edema,
inflammation
-Sx: distal weakness that spreads upwards, most serious complication is
respiratory failure due to non-functional diaphragm
Guillain-Barre Syndrome: Tx
✔✔-Tx: plasmapheresis and IgB therapy
-Management: vent support, supplemental nutrition, watch for decreased
GI motility and swallowing ability; urinary retention may occur
What is multiple sclerosis? Sx?
✔✔-Chronic, progressive, degenerative disorder of the CNS with
disseminated demyelination of nerve fibers of CNS
-Sx: ataxia, weakness, spasticity, hyperreflexia, chewing/swallowing
changes, tinnitus, decreased hearing, vertigo, paresthesia; first blurred
vision and diplopia; later dementia and bowel/bladder problems
Multiple sclerosis treatment
✔✔1. Initial: modify disease progression, prevent relapse
, -Immunomodulators: interferon B-1b (betaseron), interferon B-1a
(avonex, rebif), glatiramer (copaxone)
-Immunosuppressants: may be used to suppress immune system
-Acute exacerbations: corticosteroids
-Symptom management: anticholinergics (oxybutynin) and muscle
relaxants (baclofen)
Nursing interventions for multiple sclerosis
✔✔-Assist in dealing with anxiety caused by diagnosis
-Help patient identify triggers: avoid fatigue, extreme hot/cold, exposure
to infection
-Teach: balance of exercise and rest, nutrition, avoid hazards of
immobility, self-cath
-Acute exacerbation: prevent immobility complications
What is parkinson's disease? Sx?
✔✔-Chronic, progressive, neurodegenerative disease of the basal ganglia,
related to lack of dopamine in the brain
-Sx:
1. Tremor: involve hand, diaphragm, tongue, lips, jaw
2. Rigidity: cogwheel, jerky rigidity
3. Akinesia: loss of voluntary muscle control
4. Postural instability: lean forward or backward
Parkinson's disease treatment
✔✔*Goal is to either increase dopamine in the brain or block cholinergic
neurons*
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