CNS

1. Symptoms of increased ICP after head trauma that occur first: Restlessness and confusion
2. Patients with Atrial Fibrillation are at risk for thromboembolitic stroke.
3. Prevent CVA with Ticlopidine (thromboembolic)
4. Criterion before client is fed post-CVA: when gag reflex returns
5. Diet to prevent aspiration in CVA c residual dysphagia: thickened liquid
6. In patients with brainstem infarction, observe for bradypnea
7. Clear liquid draining from the nose is an indicative of basilar skull fracture
8. Immediate action for a patient with UO 300cc/hr, dry skin, dry mucous membranes: evaluate
urine specific gravity (diabetes insipidus)
9. Mannitol is effective if UO increases
10. For post hypophysectomy, Vasopressin IM is given to replace ADH which is usually secreted by
the posterior pituitary gland.
11. Cause of Myasthenia Gravis (MG): destruction of ACH receptors causing muscle weakness
12. Commonly seen in MG: ptosis (drooping)
13. If after receiving Mestinon, client reports of dysphagia and excessive respiratory secretions,
prepare: Atropine Sulfate
14. Tensilon test isn’t used for treatment because of its short half-life (impractical to be used)
15. Plasmapheresis: separate and remove ACTH receptor antibodies from blood
16. Evaluate extent of Parkinson’s through muscle rigidity
17. Cause of Parkinson’s: Degeneration of Substantia Nigra, resulting to depletion in dopamine
levels
18. At risk for secondary Parkinson’s caused by pharmacotherapy: Schizophrenic pts.
19. Initial symptom that occurs in early MS: diplopia.
20. Effective administration of Levodopa results to: Lessened rigidity and tremor
21. Client that will most likely develop MS: white female teacher
22. To avoid exacerbation of MS: Sleep 8 hours each night [rest]
23.