Questions from zoom
Suggestive of viral infection.
Suggestive of fungal infection.
Expected in young adults.
Indicative of bacterial meningitis.
Aggressive administration of antipyretics.
Antibiotics within the hour, post blood culture.
Watching and waiting---no meds are started until cultures are conclusive.
Vaccination per CDC protocol.
Get a set of vital signs and do a rapid, focused neuro assessment.
Get an oxygen saturation on this patient, get O2 on him if his saturation is below 96%.
Teach the family about hand hygiene practices on your unit.
Do a complete medication review with the nurse giving report.
Administration of IV calcium channel blockers.
Administration of intravenous vasodilators.
Resumption of home medications including an ACE inhibitor.
Close monitoring of BP at this time.
Q 4 hour completion of the NIHSS scale.
HOB flat except for eating.
Maintain BP <120/80.
Restart (or start) moderate to high intensity statin therapy.
Subcutaneous enoxaparin daily to prevent DVT and PE.
ASA for patients not receiving fibrinolytic therapy.
Fluid administration of Normal Saline at 125mL/hour
All of the above
Valproic acid (Depakote).
It is diagnosed on CT scan of the brain which can identify atrophy in the substantia nigra of the basal ganglia.
It is diagnosed when a patient has 2 or more cardinal symptoms with asymmetrical presentation. MUST INCLUDE BRADYKINESIA
It is diagnosed as a “rule in” when patients respond appropriately to Dopamine-receptor agonists:(pramipexole (Mirapax) or ropinerole (Requip).
It is diagnosed by blood work and possibly LP where increased levels of oligoclonal bands are diagnostic.
The patient who has a history of depression, has aphasia and is being transferred to a rehab facility.
The patient with a history of anxiety, has apraxia, and is being transferred into home care services.
The patient with a minor stroke, inability to swallow who is transferring to home.
A patient with no history of depression, minimal language or motor deficits, who is being transferred to a short-stay rehab unit.
Do you often get bored?
Are you basically satisfied with your life?
Do you feel pretty worthless the way you are now?
Do you have a lack of energy?
Here's an interesting quiz for you.