SlideShare uma empresa Scribd logo

NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alterations

•
•
N
Nurse ReviewDotOrg

http://NurseReview.Org

Saúde e medicinaTecnologia
1 de 62
Nursing Management of the Adult Client with Neurologic Alterations NURS 228 Janie Best, MSN, RN, APRN, BC
Objectives ,[object Object],[object Object],[object Object],[object Object]
The Nervous System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Studies – Cerebral Angiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Studies – Myelography / Lumbar Puncture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],LP is contraindicated if suspected IICP
Neurological Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurological Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Abnormal Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Text: 1839-1840
Abnormal Findings ,[object Object],[object Object],[object Object],[object Object]
[object Object],http:// connection.lww.com/Products/morton/documents/images/Ch33/jpg/Ch33-006B.jpg
 
No motor tone or function, limp Cerebellar function Flacid posturing Extension & external rotation of arms & wrists, extension, plantar flexion, internal rotation of feet Cerebellar function Decerebrate posturing Internal rotation of arms &wrists, extension, internal rotation & plantar flexion of the feet Cerebellar function Decorticate posturing Eyes fail to follow normal movements Brainstem Doll’s eyes
Altered LOC - Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Altered LOC ,[object Object],[object Object],[object Object],[object Object]
Altered LOC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glasgow Coma Scale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Score < 7 is consistent with significant alteration in LOC (coma)
Assessment of Respirations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of other Vital Signs Spinal shock Metabolic coma Drug overdose Brainstem lesions Decrease Temperature CNS infection Subarachnoid hemorrhage, hypothalamic lesions, hemmorhage of hypothalamus or brainstem Increase Temperature Implications ↑ /  Vital Sign
Assessment of other Vital Signs Cerebral trauma – Cushing’s triad HTN Blood Pressure Poor cerebral oxygenation Late stages of IICP Increase Decrease Pulse Implications ↑ or  Vital Sign
Brain Death ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Altered LOC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Altered LOC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assume the unconscious patient CAN hear!
Intracranial Pressure (ICP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intracranial Pressure (ICP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intracranial Pressure (ICP) ,[object Object],[object Object],[object Object]
Intracranial Pressure (ICP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood-Brain Barrier ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral Blood Flow / Volume ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
↑ Brain Volume ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.uth.tmc.edu/radiology/test/er_primer/skull_brain/skull.html
Cerebrospinal Fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Effect : ↑ cerebral blood volume Hydrocephalus
Intracranial Pressure (ICP) ,[object Object],[object Object],[object Object],[object Object]
Cycle of malignant progressive brain swelling ↑ ICP  Cerebral brain flow Tissue hypoxia ↑ pCO 2  pH Cerebral vasodilation & edema from From: Hudak, C.: Critical care nursing: p. 640
IICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
IICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
IICP - Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Complications DI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Complications - DI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Complications - SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Complications - SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Complications - SIADH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Medical Management ,[object Object],[object Object],[object Object],[object Object]
IICP – Medical Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],IICP – Medical Management
IICP – Medical Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osmotic Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
IICP – Nursing Diagnoses ,[object Object],[object Object],[object Object],[object Object]
IICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IICP – Expected Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Critical Thinking Case Study ,[object Object]
References ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object]

Recomendados

Ineffective Breathing Pattern Nursing Care Plan
Ineffective Breathing Pattern Nursing Care PlanIneffective Breathing Pattern Nursing Care Plan
Ineffective Breathing Pattern Nursing Care PlanNursing for Life
 
Psychiatric nursing review
Psychiatric nursing reviewPsychiatric nursing review
Psychiatric nursing reviewgrey clemente
 
Neuro Nursing
Neuro NursingNeuro Nursing
Neuro NursingMarkFredderickAbejo
 
Nursing care plan hypertension
Nursing care plan hypertensionNursing care plan hypertension
Nursing care plan hypertensionjmarco90
 
Seizure disorder
Seizure disorderSeizure disorder
Seizure disorderSampurna Das
 
Fluids and Electrolytes
Fluids and ElectrolytesFluids and Electrolytes
Fluids and ElectrolytesMarkFredderickAbejo
 
Pediatric Neurologic Disorders
Pediatric Neurologic Disorders Pediatric Neurologic Disorders
Pediatric Neurologic Disorders Tosca Torres
 
Nursing care plan chronic renal failure
Nursing care plan chronic renal failureNursing care plan chronic renal failure
Nursing care plan chronic renal failureReynel Dan
 

Recomendados

Ineffective Breathing Pattern Nursing Care Plan
Ineffective Breathing Pattern Nursing Care PlanIneffective Breathing Pattern Nursing Care Plan
Ineffective Breathing Pattern Nursing Care PlanNursing for Life
 
Psychiatric nursing review
Psychiatric nursing reviewPsychiatric nursing review
Psychiatric nursing reviewgrey clemente
 
Neuro Nursing
Neuro NursingNeuro Nursing
Neuro NursingMarkFredderickAbejo
 
Nursing care plan hypertension
Nursing care plan hypertensionNursing care plan hypertension
Nursing care plan hypertensionjmarco90
 
Seizure disorder
Seizure disorderSeizure disorder
Seizure disorderSampurna Das
 
Fluids and Electrolytes
Fluids and ElectrolytesFluids and Electrolytes
Fluids and ElectrolytesMarkFredderickAbejo
 
Pediatric Neurologic Disorders
Pediatric Neurologic Disorders Pediatric Neurologic Disorders
Pediatric Neurologic Disorders Tosca Torres
 
Nursing care plan chronic renal failure
Nursing care plan chronic renal failureNursing care plan chronic renal failure
Nursing care plan chronic renal failureReynel Dan
 
Cerebral Edema
Cerebral EdemaCerebral Edema
Cerebral EdemaNikhil Chougule
 
Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)ANILKUMAR BR
 
Neural tube defects
Neural tube defectsNeural tube defects
Neural tube defectsLivson Thomas
 
nursing care on pulmonary edema
nursing care on pulmonary edemanursing care on pulmonary edema
nursing care on pulmonary edemaJeya Rajathurai
 
Shock and its management
Shock and its managementShock and its management
Shock and its managementsaheli chakraborty
 
What you should know about Intracranial pressure
What you should know about Intracranial pressure What you should know about Intracranial pressure
What you should know about Intracranial pressureNapoleon Abonales
 
99997548 case-study
99997548 case-study99997548 case-study
99997548 case-studyhomeworkping7
 
Imci answer key
Imci answer keyImci answer key
Imci answer keyChisupa
 
Nursing care plans
Nursing care plansNursing care plans
Nursing care plansReynel Dan
 
seminar on neonatal seizure
seminar on neonatal seizureseminar on neonatal seizure
seminar on neonatal seizureDr. Habibur Rahim
 
Apnea
ApneaApnea
ApneaDENNIS MIRITI
 
NCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding PatternNCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding PatternPaula Sarmiento
 
Guillain barré syndrome
Guillain barré syndromeGuillain barré syndrome
Guillain barré syndromeTarika Sharma, Lecturer, CON, ILBS, New Delhi
 
Pathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhagePathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhageAbigail Abalos
 
Disturbed sleeping pattern
Disturbed sleeping patternDisturbed sleeping pattern
Disturbed sleeping patternMj Hernandez
 
Status epilepticus
Status epilepticusStatus epilepticus
Status epilepticusNeurologyKota
 
Hydrocephalus
HydrocephalusHydrocephalus
HydrocephalusNimishs Chacko
 
Neonatology MCQs
Neonatology MCQsNeonatology MCQs
Neonatology MCQsAyman Abou Mehrem
 
Seizure disorders
Seizure disordersSeizure disorders
Seizure disordersAbhishek Yadav
 
Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Abigail Abalos
 
CSF circulation disorders
CSF circulation disordersCSF circulation disorders
CSF circulation disordersZubair Sarkar
 
HIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesHIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesSujit Shrestha
 

Mais conteúdo relacionado

Mais procurados

Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)ANILKUMAR BR
 
nursing care on pulmonary edema
nursing care on pulmonary edemanursing care on pulmonary edema
nursing care on pulmonary edemaJeya Rajathurai
 
What you should know about Intracranial pressure
What you should know about Intracranial pressure What you should know about Intracranial pressure
What you should know about Intracranial pressureNapoleon Abonales
 
Imci answer key
Imci answer keyImci answer key
Imci answer keyChisupa
 
Nursing care plans
Nursing care plansNursing care plans
Nursing care plansReynel Dan
 
NCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding PatternNCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding PatternPaula Sarmiento
 
Pathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhagePathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhageAbigail Abalos
 
Disturbed sleeping pattern
Disturbed sleeping patternDisturbed sleeping pattern
Disturbed sleeping patternMj Hernandez
 
Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Abigail Abalos
 

Mais procurados (20)

Cerebral Edema
Cerebral EdemaCerebral Edema
Cerebral Edema
 
Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)Nursing management client with Increased intracranial pressure ( ICP)
Nursing management client with Increased intracranial pressure ( ICP)
 
Neural tube defects
Neural tube defectsNeural tube defects
Neural tube defects
 
nursing care on pulmonary edema
nursing care on pulmonary edemanursing care on pulmonary edema
nursing care on pulmonary edema
 
Shock and its management
Shock and its managementShock and its management
Shock and its management
 
What you should know about Intracranial pressure
What you should know about Intracranial pressure What you should know about Intracranial pressure
What you should know about Intracranial pressure
 
99997548 case-study
99997548 case-study99997548 case-study
99997548 case-study
 
Imci answer key
Imci answer keyImci answer key
Imci answer key
 
Nursing care plans
Nursing care plansNursing care plans
Nursing care plans
 
seminar on neonatal seizure
seminar on neonatal seizureseminar on neonatal seizure
seminar on neonatal seizure
 
Apnea
ApneaApnea
Apnea
 
NCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding PatternNCP Ineffective Infant Feeding Pattern
NCP Ineffective Infant Feeding Pattern
 
Guillain barré syndrome
Guillain barré syndromeGuillain barré syndrome
Guillain barré syndrome
 
Pathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhagePathophysiology of left basal ganglia hemorrhage
Pathophysiology of left basal ganglia hemorrhage
 
Disturbed sleeping pattern
Disturbed sleeping patternDisturbed sleeping pattern
Disturbed sleeping pattern
 
Status epilepticus
Status epilepticusStatus epilepticus
Status epilepticus
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
Neonatology MCQs
Neonatology MCQsNeonatology MCQs
Neonatology MCQs
 
Seizure disorders
Seizure disordersSeizure disorders
Seizure disorders
 
Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure Pathophysiology of tonic clonic seizure
Pathophysiology of tonic clonic seizure
 

Semelhante a NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alterations

CSF circulation disorders
CSF circulation disordersCSF circulation disorders
CSF circulation disordersZubair Sarkar
 
HIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesHIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesSujit Shrestha
 
approach_to_coma.ppt
approach_to_coma.pptapproach_to_coma.ppt
approach_to_coma.pptmalisalukman
 
Copy of PERINATAL_ASPHYXIA.pptx
Copy of PERINATAL_ASPHYXIA.pptxCopy of PERINATAL_ASPHYXIA.pptx
Copy of PERINATAL_ASPHYXIA.pptxNatanA7
 
Cerebral blood flow &amp; intracranial pressure
Cerebral blood flow &amp; intracranial pressureCerebral blood flow &amp; intracranial pressure
Cerebral blood flow &amp; intracranial pressureSharath !!!!!!!!
 
Normal Pressure Hydrocephalus
Normal Pressure HydrocephalusNormal Pressure Hydrocephalus
Normal Pressure Hydrocephaluscherrydew
 
Normal Pressure Hydrocephalus
Normal Pressure HydrocephalusNormal Pressure Hydrocephalus
Normal Pressure Hydrocephalussuhailausuludin
 
Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01PS Deb
 
3. Intra Cranial Pressure and nursing interventions.pptx
3. Intra Cranial Pressure and nursing interventions.pptx3. Intra Cranial Pressure and nursing interventions.pptx
3. Intra Cranial Pressure and nursing interventions.pptxHayatALAKOUM
 
intracranial pressure nursing care process
intracranial pressure nursing care processintracranial pressure nursing care process
intracranial pressure nursing care processHayatALAKOUM
 
Asphyxia neonatorum
Asphyxia neonatorumAsphyxia neonatorum
Asphyxia neonatorumVarsha Shah
 
Approach to coma
Approach to comaApproach to coma
Approach to comaPS Deb
 
Neurosurgical Emergencies Final
Neurosurgical Emergencies FinalNeurosurgical Emergencies Final
Neurosurgical Emergencies FinalAndrew Ferguson
 

Semelhante a NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alterations (20)

CSF circulation disorders
CSF circulation disordersCSF circulation disorders
CSF circulation disorders
 
HIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesHIE Birth asphyxia in Neonates
HIE Birth asphyxia in Neonates
 
ICP-Head-injury.ppt
ICP-Head-injury.pptICP-Head-injury.ppt
ICP-Head-injury.ppt
 
ICP-Head-injury.ppt
ICP-Head-injury.pptICP-Head-injury.ppt
ICP-Head-injury.ppt
 
approach_to_coma.ppt
approach_to_coma.pptapproach_to_coma.ppt
approach_to_coma.ppt
 
Copy of PERINATAL_ASPHYXIA.pptx
Copy of PERINATAL_ASPHYXIA.pptxCopy of PERINATAL_ASPHYXIA.pptx
Copy of PERINATAL_ASPHYXIA.pptx
 
Cerebral blood flow &amp; intracranial pressure
Cerebral blood flow &amp; intracranial pressureCerebral blood flow &amp; intracranial pressure
Cerebral blood flow &amp; intracranial pressure
 
Normal Pressure Hydrocephalus
Normal Pressure HydrocephalusNormal Pressure Hydrocephalus
Normal Pressure Hydrocephalus
 
Normal Pressure Hydrocephalus
Normal Pressure HydrocephalusNormal Pressure Hydrocephalus
Normal Pressure Hydrocephalus
 
Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01
 
Shock
ShockShock
Shock
 
1. asphyxia.PPT
1. asphyxia.PPT1. asphyxia.PPT
1. asphyxia.PPT
 
3. Intra Cranial Pressure and nursing interventions.pptx
3. Intra Cranial Pressure and nursing interventions.pptx3. Intra Cranial Pressure and nursing interventions.pptx
3. Intra Cranial Pressure and nursing interventions.pptx
 
Hie ppt
Hie pptHie ppt
Hie ppt
 
Hie ppt
Hie pptHie ppt
Hie ppt
 
intracranial pressure nursing care process
intracranial pressure nursing care processintracranial pressure nursing care process
intracranial pressure nursing care process
 
Birth asphyxia
Birth asphyxiaBirth asphyxia
Birth asphyxia
 
Asphyxia neonatorum
Asphyxia neonatorumAsphyxia neonatorum
Asphyxia neonatorum
 
Approach to coma
Approach to comaApproach to coma
Approach to coma
 
Neurosurgical Emergencies Final
Neurosurgical Emergencies FinalNeurosurgical Emergencies Final
Neurosurgical Emergencies Final
 

Mais de Nurse ReviewDotOrg

NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Study Skills and Test Strategies for the New Nursing StudentNurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Study Skills and Test Strategies for the New Nursing StudentNurse ReviewDotOrg
 
NurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Introduction to Mechanical VentilationNurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Introduction to Mechanical VentilationNurse ReviewDotOrg
 
Test Taking Strategies For Nursing Students
Test Taking Strategies For Nursing StudentsTest Taking Strategies For Nursing Students
Test Taking Strategies For Nursing StudentsNurse ReviewDotOrg
 
NurseReview.Org - Identification of Shock
NurseReview.Org - Identification of ShockNurseReview.Org - Identification of Shock
NurseReview.Org - Identification of ShockNurse ReviewDotOrg
 
NurseReview.Org Thorax & Lungs
NurseReview.Org Thorax & LungsNurseReview.Org Thorax & Lungs
NurseReview.Org Thorax & LungsNurse ReviewDotOrg
 
NurseReview.Org - The Sensory System
NurseReview.Org - The Sensory SystemNurseReview.Org - The Sensory System
NurseReview.Org - The Sensory SystemNurse ReviewDotOrg
 
NurseReview.ORg - Specimen Collection
NurseReview.ORg - Specimen CollectionNurseReview.ORg - Specimen Collection
NurseReview.ORg - Specimen CollectionNurse ReviewDotOrg
 
NurseReview.Org - Skin Hair & Nails
NurseReview.Org - Skin Hair & NailsNurseReview.Org - Skin Hair & Nails
NurseReview.Org - Skin Hair & NailsNurse ReviewDotOrg
 
NurseReview.Org - Safety Basic Body Mechanics
NurseReview.Org - Safety Basic Body MechanicsNurseReview.Org - Safety Basic Body Mechanics
NurseReview.Org - Safety Basic Body MechanicsNurse ReviewDotOrg
 
NurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Proprioception & Cerebellar FunctionNurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Proprioception & Cerebellar FunctionNurse ReviewDotOrg
 
NurseReview.Org - Mental Status Assessment
NurseReview.Org - Mental Status AssessmentNurseReview.Org - Mental Status Assessment
NurseReview.Org - Mental Status AssessmentNurse ReviewDotOrg
 
NurseReview.Org - Muscoloskeletal System
NurseReview.Org - Muscoloskeletal SystemNurseReview.Org - Muscoloskeletal System
NurseReview.Org - Muscoloskeletal SystemNurse ReviewDotOrg
 
NurseReview.Org - Head Neck Regional Lymphatics
NurseReview.Org - Head Neck Regional LymphaticsNurseReview.Org - Head Neck Regional Lymphatics
NurseReview.Org - Head Neck Regional LymphaticsNurse ReviewDotOrg
 
NurseReview.Org - Heart & Neck Vessels
NurseReview.Org - Heart & Neck VesselsNurseReview.Org - Heart & Neck Vessels
NurseReview.Org - Heart & Neck VesselsNurse ReviewDotOrg
 
NurseReview.Org - Introduction To Physical Assessment
NurseReview.Org - Introduction To Physical AssessmentNurseReview.Org - Introduction To Physical Assessment
NurseReview.Org - Introduction To Physical AssessmentNurse ReviewDotOrg
 
NurseReview.Org - Infection Control Handwashing
NurseReview.Org - Infection Control HandwashingNurseReview.Org - Infection Control Handwashing
NurseReview.Org - Infection Control HandwashingNurse ReviewDotOrg
 
NurseReview.Org - Isolation Nursing Precautions
NurseReview.Org - Isolation Nursing PrecautionsNurseReview.Org - Isolation Nursing Precautions
NurseReview.Org - Isolation Nursing PrecautionsNurse ReviewDotOrg
 

Mais de Nurse ReviewDotOrg (20)

NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Study Skills and Test Strategies for the New Nursing StudentNurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
 
NurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Introduction to Mechanical VentilationNurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Introduction to Mechanical Ventilation
 
Test Taking Strategies For Nursing Students
Test Taking Strategies For Nursing StudentsTest Taking Strategies For Nursing Students
Test Taking Strategies For Nursing Students
 
NurseReview.Org - Identification of Shock
NurseReview.Org - Identification of ShockNurseReview.Org - Identification of Shock
NurseReview.Org - Identification of Shock
 
NurseReview.Org - Vital Signs
NurseReview.Org - Vital SignsNurseReview.Org - Vital Signs
NurseReview.Org - Vital Signs
 
NurseReview.Org Thorax & Lungs
NurseReview.Org Thorax & LungsNurseReview.Org Thorax & Lungs
NurseReview.Org Thorax & Lungs
 
NurseReview.Org - The Sensory System
NurseReview.Org - The Sensory SystemNurseReview.Org - The Sensory System
NurseReview.Org - The Sensory System
 
NurseReview.ORg - Specimen Collection
NurseReview.ORg - Specimen CollectionNurseReview.ORg - Specimen Collection
NurseReview.ORg - Specimen Collection
 
NurseReview.Org - Skin Hair & Nails
NurseReview.Org - Skin Hair & NailsNurseReview.Org - Skin Hair & Nails
NurseReview.Org - Skin Hair & Nails
 
NurseReview.Org - Safety Basic Body Mechanics
NurseReview.Org - Safety Basic Body MechanicsNurseReview.Org - Safety Basic Body Mechanics
NurseReview.Org - Safety Basic Body Mechanics
 
NurseReview.Org - Reflexes
NurseReview.Org - ReflexesNurseReview.Org - Reflexes
NurseReview.Org - Reflexes
 
NurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Proprioception & Cerebellar FunctionNurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Proprioception & Cerebellar Function
 
NurseReview.Org - Mental Status Assessment
NurseReview.Org - Mental Status AssessmentNurseReview.Org - Mental Status Assessment
NurseReview.Org - Mental Status Assessment
 
NurseReview.Org - Muscoloskeletal System
NurseReview.Org - Muscoloskeletal SystemNurseReview.Org - Muscoloskeletal System
NurseReview.Org - Muscoloskeletal System
 
NurseReview.Org - Head Neck Regional Lymphatics
NurseReview.Org - Head Neck Regional LymphaticsNurseReview.Org - Head Neck Regional Lymphatics
NurseReview.Org - Head Neck Regional Lymphatics
 
NurseReview.Org - Heart & Neck Vessels
NurseReview.Org - Heart & Neck VesselsNurseReview.Org - Heart & Neck Vessels
NurseReview.Org - Heart & Neck Vessels
 
NurseReview.Org - Introduction To Physical Assessment
NurseReview.Org - Introduction To Physical AssessmentNurseReview.Org - Introduction To Physical Assessment
NurseReview.Org - Introduction To Physical Assessment
 
NurseReview.Org - Infection Control Handwashing
NurseReview.Org - Infection Control HandwashingNurseReview.Org - Infection Control Handwashing
NurseReview.Org - Infection Control Handwashing
 
NurseReview.Org - Isolation Nursing Precautions
NurseReview.Org - Isolation Nursing PrecautionsNurseReview.Org - Isolation Nursing Precautions
NurseReview.Org - Isolation Nursing Precautions
 
NurseReview.Org - Genitalia
NurseReview.Org - GenitaliaNurseReview.Org - Genitalia
NurseReview.Org - Genitalia
 

Último

Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Último (20)

Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 

NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alterations

  • 1. Nursing Management of the Adult Client with Neurologic Alterations NURS 228 Janie Best, MSN, RN, APRN, BC
  • 2.
  • 3.
  • 4.
  • 5.  
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.  
  • 14.
  • 15.
  • 16.
  • 17.  
  • 18. No motor tone or function, limp Cerebellar function Flacid posturing Extension & external rotation of arms & wrists, extension, plantar flexion, internal rotation of feet Cerebellar function Decerebrate posturing Internal rotation of arms &wrists, extension, internal rotation & plantar flexion of the feet Cerebellar function Decorticate posturing Eyes fail to follow normal movements Brainstem Doll’s eyes
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Assessment of other Vital Signs Spinal shock Metabolic coma Drug overdose Brainstem lesions Decrease Temperature CNS infection Subarachnoid hemorrhage, hypothalamic lesions, hemmorhage of hypothalamus or brainstem Increase Temperature Implications ↑ /  Vital Sign
  • 25. Assessment of other Vital Signs Cerebral trauma – Cushing’s triad HTN Blood Pressure Poor cerebral oxygenation Late stages of IICP Increase Decrease Pulse Implications ↑ or  Vital Sign
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38. Cycle of malignant progressive brain swelling ↑ ICP  Cerebral brain flow Tissue hypoxia ↑ pCO 2  pH Cerebral vasodilation & edema from From: Hudak, C.: Critical care nursing: p. 640
  • 39.
  • 40.
  • 41.  
  • 42.
  • 43.
  • 44.  
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.  
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.