NUR2755 / NUR 2755 Multidimensional Care IV Exam 1 Review | Rated A | LATEST 2021/ 2022 | Rasmussen College

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NUR2755 / NUR 2755 Multidimensional Care IV Exam 1 Review | Rated A | LATEST | Rasmussen College 1. What are headaches? - vasodilation of blood vessels in the brain 2. What causes headaches ... - genetics, stress, hormones 3. What can trigger a headache? - coffee, - yogurt, - alcohol, - MSG, - marinated foods 4. s/s of headache - head pain for 4-72 hours, N/V, unilateral pain, may come with aura 5. what are cluster headaches? - happen at night, stuffy nose 6. treatment of headache - Prophylactic = propranolol - Mild = NSAID - Severe = sumatriptan i. ergotamine tartrate ii. 6 tabs in 1 day iii. take as soon as pain starts iv. MOA = constricts cerebral blood vessels 7. What is increased ICP made of? - CSF, - blood, - brain 8. what causes increased ICP - infection, - trauma, - increased CSF, - hemorrhage, tumors 9. s/s of increased ICP - MIND CRUSH - M: mental status change (early sign) = decreased LOC, irritable, confusion - I: irregular breathing (late sighn) = Cheyene Stokes - N: nerve damage to eye = pupil changes - D: decerebrate (limbs out) and decorticate (limbs to core) posturing - C: cushing's triad (late) = HTN + brady + wide pule pressure - R: reflux - N/V - U: unconscious - S: seizures - H: headaches 10. Nursing care for Increased ICP - PRESS - P: position HOB @ 30 degrees and make sure body's midline (no flexion of neck or hips) - R: respiratory we want to prevent hypercapnia by hyperventilating (limit suctioning) - E: elevated temp - prevent it! - S: system checks = neuro checks - S: straining things - avoid it (no lifting, blowing nose, cough/sneeze) 11. Additional Nursing care measures for ICP - turn down the lights - no TV or noise - put sign on door telling visitors to see nurse first 12. What do you NOT do when someone has increased ICP? - Lumbar Puncture 13. What is the most common type of dementia? - Alzheimer's disease [Show More]

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