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

94821

Card Set

med surge 143

Description

med surge 143

Updated

2011-07-22T03:33:28Z

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