Neuro Msk Study Guide

Neuro and Musculoskeletal Study Guide 1. Symptoms of brainstem injury 2. Symptoms of cerebellum dysfunction and priority nursing intervention 3. Sympathetic vs. Parasympathetic nervous system functions 4. Preparing the patient for an MRI 5. CT contrast dye contraindications and considerations - allergies, renal deficiencies, hold metformin, assess femoral injection site and distal pulse 6. MRI patient instructions 7. Lumbar puncture - patient position, aseptic technique, application of lidocaine 30 minutes prior, need to carry specimens to lab personally 8. Risk factors for strokes 9. Symptoms of stroke 10. Use of mannitol and assessment of effectiveness - level of consciousness 11. Flexion (decorticate) vs. extension (decerebrate) positioning 12. Neuro assessment technique - PERRLA, gag reflex, Babinski reflex, Kernig's sign, Brudzinski's sign 13. Glasgow coma scale assessment and interventions - "Below 8 - Intubate" 14. Signs and treatment of increased ICP - HOB 30-45 degrees, loosen neck ties, necklaces, prevent flexion of neck/hips, use of mannitol, safety, passive ROM, prevent coughing/sneezing/straining bowels 15. Patients at high risk for seizures and seizure precautions 16. Hydrocephalus meaning and treatment 17. VP shunt malfunction symptoms 18. Signs of skull fracture 19. Signs of subdural hematoma 20. Care of an unconscious client 21. Use of jaw thrust maneuver 22. Signs and treatment of Parkinson's disease - considerations for carbidopa levodopa 23. Signs and treatment of meningitis 24. Signs and nursing considerations for myasthenia gravis 25. Patient education about medications for seizure prevention vs. stopping an active seizure Musculoskeletal 1. Patient education about bone growth 2. Patient education about osteoporosis including increased risk factors, required testing and concerns for injury 3. Splinting of fracture 4. X-ray considerations 5. Signs of fractures 6. Types of fractures 7. Care for open fracture 8. Nursing considerations for patient in traction 9. Nursing considerations when placing cast on patient 10. Patient education about cast care 11. Signs of DVT 12. Prevention and treatment of DVT 1 13. Patient education about using crutches 14. Patient education about using cane/walker 15. Nursing considerations for patient with hip fracture 16. Nursing considerations for patient with total knee replacement 17. Nursing assessment of back pain 18. Nursing care and considerations for elderly patient with lower leg amputation 19. Signs and treatment of osteoporosis 20. Signs and treatment of osteoarthritis 21. Nursing considerations for rheumatoid arthritis 22. Nursing care for muscle sprain 23. Signs, treatment and patient education for gout 24. Nursing education about body ergonomics 25. Musculoskeletal vocabulary match up 2