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med surge 143
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What is common in comotose patients
paralytic ileus
What aids in gastric decompression
gastric tubes
What can cause an increase due to cerbral metabolism and what is it caused by
cerbral edema
what do you report in pt with a head injury
restlessness
When do you not give an entral tube feed ____amount of residual
100 mL
Enteral tubes may cause ___in unconsious pt.
aspiration
Unconsious pt may be fed by?
enteral tube feed
What may indicate Inter cranial pressure (ICP)
subtle changes restlessness, irritabilty, or confusion
What carries the risk of meningitis and indicates deteroriating condition?
Cerberal spinal fluid leakage
When is ICP reduced in pt with head injury?
CSF leakage
when is it most common for pernenant paralysis to occur when the spinal cord is compressed
12-24 hours
In which vertabrates do you need to asess the pt. respiratory status?
c-3 to c-5
why should you avoid narcotics?
because they mask the level of responsiveness
which agents reduce siezures?
phenytonin
what are carinotomy preop meds
corticosteroids because they reduce swelling
which agents and osmotic diuretics to reduce secretions
atropine and robinul
what is the common cause of death that occurs after spinal cord injury?
urinary tract infection
why must even benign tumors must be treated promptly
the can cause ICP
craninal nerve 1
olfactory sense of smell-close eyes smell coffe grounds, perfume, pickle juice
Craninal nerve 2
optic- eyes visuial acuity snellen test
cranial nerve 3
occulomotor- PERRL-A motor eyelid movement
Cranial nerve 4
trochlear- lateral eye movement direction of gaze
Cranial nerve 5
trigeminal- facial motor biting, chewing lateral jaw
Cranial nerve 6
abducens- extroccular eye movement lateral
Cranial nerve 7
Facial-motor expression lacrimal &salivary glands
Cranial nerve 8
acousticsense of hearing and balance
cranial nerve 9
glossphryngeal-gag reflex swallowing taste throat and posterior tongue
cranial nerve 10
Vegus posterior tongue throat larynx heart lungs bronchi, gi tract anal wink
Cranial nerve 11
spinal accessory motor shoulder movement and head rotation
Cranial nerve 12
hypoglossal-motor tongue movement articulation of speech
Author
srndipty
ID
94821
Card Set
med surge 143
Description
med surge 143
Updated
7/22/2011, 3:33:28 AM
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