Nur 103 test 3 A

denotes damage to nerves of the peripheral nervous system

• 1. mononeuropathy
• 2. polyneuropathy
• 3. viseralneuropathy

is a type of neuropathy that only affects a single nerve

• often the cause is a localized trauma or infection
• most common is physical compression of the nerve, (eg carpal tunnel syndrome)
• interruption of blood supply (ischemia),
• inflammation

• shingles,
• carpal tunnel syndrome
• “foot falling asleep” is a mild form of mononeuropathy

• neurological disorder that occurs when many nerves throughout the body malfunction simultaneously.
• acute or chronic

• freq hands and feet are affected
• sensory – decreased ability to feel hot/cold,
• alt. or impaired sensation
• impairment in autonomic systems

• infections
• autoimmune reactions
• toxins
• certain drugs
• cancer
• diabetes mellitus (most common)
• excessive use of alcohol

• treat the underlying disease
• pain medications
• physical therapy
• Vyndaqel

• chronic disease
• involving CN V (opthalmic/maxillary/mandibular)
• usually middle to late life
• pressure on nerve causes pain

impairment of the autonomic system nervers

• Autonomic neuropathy can affect any of these organ systems:
• lungs, blood vessels, bone, adipose tissue, sweat glands, gastrointestinal system and genitourinary system.

• depends on area of ANS involvement
• can be:
• gastraparesis
• loss of sense of bladder or bowel fullness
• orthostatic hypotension (fainting when standing up)nausea
• bloating
• diarrhea
• sluggish movement of the small intestine
• urinary frequency, urgency, incontinence and retention

heart, lungs, blood vessels, bone, adipose tissue, sweat glands, gastrointestinal system and genitourinary system. Autonomic neuropathy can affect any of these organ systems.

• effects usually not reversible
• non specific treatment,
• but meds may help (neurontin, lyrical, cymbalta)
• nsg care aimed at prevention:
• properly fitted shoes,
• no bare feet,
• assess skin of foot daily
• toenails professionally cut
• check temp of eater with hand or thermometer before putting feet in water

• severe facial pain
• trigger zones
• usually one sided
• brief; seconds – minutes
• remission can be a long period of time,

• cause is unknown
• might be:
• flu, trauma, infection, pressure on the nerve

• 1. carbamazepine (Tegretol)
• 2. gabapentin (Neurotin)
• 3. anticonvulsants

• keep journal to find triggers
• possible triggers include:
• chewing, cold, wind, shave, washing, putting on cream, etc.
• surgery

• rhizotomy
• sever nerve but this leaves no sensation in cheek

• facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve)
• inability to control facial muscles on the affected side
• most common acute mononeuropathy

20 - 60 year olds

• No readily identifiable cause
• sometimes occurs with other disease processes,
• virus
• inflammatory condition leads to swelling of the facial nerve that block the nerve functioning

• facial drooping on the affected half
• unilateral paralysis
• Facial palsy: unable to control:
• blinking and closing the eyes,
• smiling, frowning, lacrimation,
• salivation, flaring nostrils
• raising eyebrows,

• usuall self limiting, 3 weeks – 6 month
• most recover completely
• sometimes residual s/s,
• sometimes sever residual s/s

• steroid
• antivirals,(acyclovir)
• anti inflammatory(prednisone)

• self care
• prevent injury -chewing and biting mouth parts
• maintain nutrition
• artificial tears – eyes can't blink or protect itself,
• massage for pain
• sometime physical therapy