understanding medical surgical powerpoint
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powerpoint of chapter 47TRANSCRIPT
Linda S. Williams / Paula D. Hopper
Copyright © 2011. F.A. Davis Company
Understanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Chapter 47
Neurological Function, Assessment, and Therapeutic
Measures
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Review of Normal A&P
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Synapse
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Cross Section of Spinal Cord
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Brain
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Cranial Nerves Olfactory Optic Oculomotor Trochlear Trigeminal Abducens
Facial Vestibulocochlear Glossopharyngeal Vagus Accessory Hypoglossal
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Autonomic Nervous System
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Aging
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Basic Neurological Assessment
Level of Consciousness Vital Signs Pupil Response to Light Extremity Strength and Movement Sensation
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
History Symptoms Medication Use Surgical History Family History Life Style WHAT’S UP?
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Subjective Data Mental Status Intellectual Function Thought Content Perception Language Ability Memory Pain
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Physical Assessment Level of Consciousness Mental State Examination Pupillary Response Muscle Function Cranial Nerve Function
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Glasgow Coma Scale Eye Opening Verbal Response Motor Response
Posturing
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Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Abnormal Posturing
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Pupil Assessment
Equal Round Reactive to Light Reactive to
Accommodation
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Diagnostic Tests Laboratory Tests
Thyroid B12 ESR CBC Electrolytes
Hormone Levels Creatine Kinase VDRL Liver Function Renal Function
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Lumbar Puncture Pre-Procedure Nursing Care
Verify Informed Consent Assist with Positioning
Post-Procedure Care Maintain Flat Bedrest 6 to 8 Hours Encourage Fluids Monitor Puncture Site Monitor Movement, Sensation, Headache
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Lumbar Puncture (cont’d)
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Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
CT Scan Pre-Procedure
Administer Contrast if Ordered Check Allergies Check BUN, Cr
Request Order for Sedation if Indicated
Teach Contrast May Cause
Feeling of Warmth Signs and Symptoms
of Allergic Reaction to Report
Post Procedure Encourage Fluids if
Dye Used
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
MRI Pre-Procedure Nursing Care
Assure No Pacemaker or Metal on Patient Administer Analgesic or Sedative as Ordered Teach Relaxation
Post-Procedure Care No Special Care
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Angiogram Pre-Procedure Nursing Care
Verify Informed Consent Give Clear Liquid Diet Insert IV Needle Check BUN/Cr Check PT and PTT Administer Sedation as Ordered
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Angiogram (cont’d) Post-Procedure Care
Keep Flat in Bed 6 to 8 Hours Monitor
VS Catheter Insertion Site Pulses
Encourage Fluids
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Myelogram Pre-Procedure Nursing Care
Check Allergies to Contrast Assess History of Seizures Verify Informed Consent
Post-Procedure Care Similar to LP Encourage Fluids HOB Elevated 30 Degrees
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Electroencephalogram Pre-Procedure Nursing Care
Assure Hair Clean and Dry Check Medication Orders
Post-Procedure Care Wash Hair
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Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Therapeutic Measures Moving and
Positioning Maintain Functional
Positions Avoid Injury Prevent Contracture Mobilize ASAP
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Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Activities of Daily Living Encourage Independence Based on
Functional Level Maintain Routine Provide Assistance as Needed
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Communication Problems
Dysarthria Expressive Aphasia Receptive Aphasia
Interventions Use Care with Yes-No
Questions Correct Substituted
Words Anticipate Needs Use Gestures Be Patient!
Copyright © 2011. F.A. Davis Company
Linda S. Williams / Paula D. HopperUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th EditionUnderstanding Medical Surgical Nursing, 4th Edition
Nutrition Evaluate Swallowing Interventions for Impaired Swallowing
Thicken Liquids Position Upright for Eating Monitor Meals Tube Feedings