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The earliest signs of increased ICP the nurse
should assess for...
decreasing level of consciousness. A decrease in LOC occurs
before changes in vital signs, ocular signs, or projectile
vomiting.
TERM 2
Cushing's Triad
DEFINITION 2
Decreased pulse, irregular respiration, increased pulse
pressure. Blood pressure is high because there is an attempt
to maintain cerebral perfusion.
TERM 3
A patient has ICP monitoring with an
intraventricular catheter. Priority
intervention....
DEFINITION 3
Aseptic technique to prevent infection
TERM 4
Treatments for ICP (5)
DEFINITION 4
Oxygen administration Mild hyperventilation Osmotic
diuretics Dexamethasone Barbituates
TERM 5
Rationale for dexamethasone to treat ICP
DEFINITION 5
Decreased lesion edema
Rationale for barbituates to treat ICP
Decreased cerebral metabolism
TERM 7
Rationale for osmotic diuretics to treat ICP
DEFINITION 7
Decreased volume of brain water
TERM 8
Rationale for use of mild hyperventilation to
treat ICP
DEFINITION 8
Cerebral arterial vasoconstriction. PaCO2 30-35 mm Hg.
TERM 9
Three criteria for a coma are that patient is
unable to ... (3)
DEFINITION 9
open eyes, speak, obey commands
TERM 10
Nurse should contact HCP when Pa02 is ___.
DEFINITION 10
Primary goal of care after cranial surgery
Prevention of increased ICP
TERM 17
Encephalitis
DEFINITION 17
Acute inflammation of the brain
TERM 18
Bacterial meningitis usually occurs secondary
to ______ ______ ______.
DEFINITION 18
upper respiratory infection
TERM 19
Classic symptoms of bacterial meningitis
include... (3)
DEFINITION 19
High fever, nuchal rigidity, and severe headache
TERM 20
Decorticate posturing
DEFINITION 20
flexion of arms, wrist, fingers. Adduction of lower
extremities. Internal rotation, plantar flexion
Decerebrate
Posturing
All extremities rigid extension. Hyperpronation of forearms.
TERM 22
Meningitis is spread by _______ _______.
DEFINITION 22
Respiratory secretions
TERM 23
Riluzole (Rilutek)
DEFINITION 23
Used to treat ALS. Extends survival time (by a few months)
and may cause liver damage.
TERM 24
Generalized Seizures
DEFINITION 24
No warning or aura, most patients lose consciousness,
bilateral symmetric epileptic discharges in brain
TERM 25
Petit mal seizure is AKA
DEFINITION 25
Typical absence
Focal motor, sensory, or autonomic
symptoms without loss of consciousness
Simple partial
TERM 32
How is Multiple Sclerosis primarily
diagnosed?
DEFINITION 32
Because there is no definitive diagnostic test, diagnosis is
based primarily on history, clinical manifestations, and the
presence of multiple lesions over time as measured by MRI.
TERM 33
Parkinson's Triad
DEFINITION 33
Tremor Muscle rigidity Bradykinesia (masked appearance)
TERM 34
Most serious complication of Guillan-
Barre
DEFINITION 34
respiratory
TERM 35
C7 spinal shock
manifestation
DEFINITION 35
tetraplegia with total sensory loss
T1 spinal shock
manifestation
Paraplegia and sensory loss
TERM 37
Spinal shock
manifestation
DEFINITION 37
Decreased reflexes, loss of sensation, paralysis below level of
injury
TERM 38
Stage 1 Cancer
DEFINITION 38
limited to tissue of origin
TERM 39
Stage 2 Cancer
DEFINITION 39
Spread to local tissue
TERM 40
Stage 3 Cancer
DEFINITION 40
Extensive local and regional invasion
Elevated AFP
Liver
TERM 47
Elevated CEA
DEFINITION 47
GI Tract
TERM 48
CA 125
DEFINITION 48
Ovary
TERM 49
CA 19-
DEFINITION 49
Pancreas/gallbladder
TERM 50
PSA
DEFINITION 50
Prostate
Brachytherapy
Internal radiography
TERM 52
Radiation Therapy: Potential Side Effects
DEFINITION 52
Fatigue, anorexia, bone marrow suppression, skin, mucous
membranes, pulmonary, GI symptoms, Reproductive issues
TERM 53
Absolute Neutrophil Count
DEFINITION 53
One measure for risk of infection. calculated by multiplying
the total WBC by the % of neutrophils.
TERM 54
ANC
DEFINITION 54
extremely high risk of infection
TERM 55
ANC 100-
DEFINITION 55
High risk of infection
Sarcomas originate
from...
Connective tissue, muscle, bone, and fat
TERM 62
Grade I Cells
DEFINITION 62
Mild dysplasia
TERM 63
Grade II
Cells
DEFINITION 63
Moderate Dysplasia
TERM 64
Grade III
DEFINITION 64
Severe dysplasia
TERM 65
Grade IV
DEFINITION 65
Anaplasia. Cells are immature and primitive. Cell of origin is
difficult to determine.
Allogenic
Donor Match
TERM 67
Autogenic
DEFINITION 67
Self match
TERM 68
Syngeneic
DEFINITION 68
Twin match
TERM 69
Signs and Symptoms of Tumor Lysis
Syndrome
DEFINITION 69
Hyperkalemia, hyperuricemia
TERM 70
Treatment for Tumor Lysis
Syndrome
DEFINITION 70
IVF, allopurinol
Hypercalcemia
Treatment: fluids, meds. Helps bone reabsorb calcium.
TERM 77
Tumor Lysis
Syndrome
DEFINITION 77
Common. A lot of dead tumor cells produces problems.
Uricemia, hyperphosphatemia, hyperkalemia. Treatment is
allopurinal and IV fluids. Allopurinol specifically treats the
uricemia.
TERM 78
Cardiac Tamponade
DEFINITION 78
Treatment is pericardialcentesis
TERM 79
Carotid Artery Rupture
DEFINITION 79
Apply pressure
TERM 80
3rd Degree Burn
DEFINITION 80
Doesn't blanch, white, charred, dry, no pain
Emergent Phase of Burn
Begins with fluid loss and edema formation and continues
until mobilization and diuresis begin.
TERM 82
Acute Phase
DEFINITION 82
Begins with the mobilization of extracellular fluid and
diuresis. Ends when burned area is completely covered by
skin grafts or when wounds are healed.
TERM 83
Rehabilitation Phase
DEFINITION 83
Begins when pt. burn wounds are grafted, covered with skin,
or healed and pt. is able to resume a level of self-care
activitiy.
TERM 84
Parkland Formula
DEFINITION 84
4ml * kg * %TBSA 1/2 given over 1st 8 hours, remainder
given over next 16 hours
TERM 85
Early Signs of Sepsis
DEFINITION 85
Increased temperature, pulse
