University:
York University
Course:
NURSING 2534 | Pathophysiology
Academic year:

2023
Views:

116

Pages:

3
Author:

Niklas

GENERALIZED SEIZURE affects worn hemispheres of the prain tonic-cionic (grand-max) malir commentf may begin wlaura tonic sitiening riglairy of cansomitics rolleurs by oвь оf сопастообредь clonic hyperventilarion jerking ansence sessure briet lapse of awareness activity for beset pericas Imare common in chilbron] myoclonic seisure briet generalized jerking or stiftening of muscle may fall aronic sciture: sudden Hos of muscle tone may fall drop attack wear heimet PARTIAL DE FOCAL ONSET begin with a focal discharge in the brain Bimpla Partial focal enesis to saleure conscious & alert bor hare unusual feelings #2 Compicx Partial altered Behavior no awareness of in 10ss of consciousness eyes open may noire unusual moremunts, auromatisms MANIFESTATIONS 10ns of vision iblurng. strange smells nausea strong fecting sise you, booncas deja vu numbnes tingling 2. tal unable to morrispeak armollegs ariftening dronning Confusian DIAGNOSTIC STUDIES CBC, UA, electrolyses rule oot metabolic disorder LP CT, MEI MANAGEMENT antiseizure drugs vagos nerve stimulation STATUS EPILEPTICUS continuous scisure activity medical energeny Trestnent rapid-acting TV antiseizure meds 3. Рови-іскал diascpam keep lignes off Confosian keep room quiet Treacle Sorenss thirst menitor ot headache EMERGENCY MANAGEMENT: SEIZURE PRECAUTIONS Seizure precautions Turn on side, unless suction is available Stay with pt Check VS, LOC, O₂ sat Ongoing monitoring MULTIPLE SCLEROSIS Demyelinating disease Destruction of CNS myelin Disruption of nerve impulses Affects 20-50 women, men Triggers: stress, trauma, fatigue, infections, immunizations Manifestations: motor, sensory, pain, balance, coordination, Lhermitte's sign Diagnosis: presenting symptoms, MRI, evoked potentials Studies: MRI, lumbar puncture, CSF electrophoresis PARKINSON'S DISEASE Neurodegenerative disease, no cure Chronic, progressive Major Neurologic Findings: tremors, rigidity, bradykinesia Risk Factors: rural residence, stress, hypoxia Complications: injury, falls, aspiration, dementia, psychosis, depression, hallucinations Nursing Interventions: encourage exercise, maintain independence, proper posture, prevent falls, avoid constipation, fluids MYASTHENIA GRAVIS Manifestations: Diplopia, ptosis, dysphagia, aspiration risk, muscle weakness. Tests: Tensilon test, EMG, serum ACh receptor antibodies Management: Anticholinesterase drugs, corticosteroids, immunosuppressants Nursing Interventions: Semi-solid foods, thickened liquids, encourage cough and deep breathing AMYOTROPHIC LATERAL SCLEROSIS (ALS) Progressive, degeneration of motor neurons Muscle weakness, atrophy, cramps, eventually tetraplegia Respiratory muscles affected, respiratory compromise Management: Supportive care, palliative care HUNTINGTON'S DISEASE Progressive degenerative brain disorder Deficiency of GABA and ACh, excessive involuntary jerking movements Manifestations: Family history, mood changes, cognitive deterioration, chorea Stages: 1-4, early onset, walking affected, total care required