NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 3 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
Nursing interventions for seizures
✔✔1. Wear helmet to avoid risk of head injury
2. Assist to identify events that precipitate seizures
3. Avoid alcohol, fatigue, loss of sleep
3. Observe and maintain seizure: patent airway, support head, turn to
side, easy to floor
What is Guillain-Barre Syndrome? Sx?
✔✔-Definition: acute, rapidly progressing, and potentially fatal form of
polyneuropathy; affects the PNS and results in loss of myelin, edema,
inflammation
-Sx: distal weakness that spreads upwards, most serious complication is
respiratory failure due to non-functional diaphragm
Guillain-Barre Syndrome: Tx
✔✔-Tx: plasmapheresis and IgB therapy
-Management: vent support, supplemental nutrition, watch for decreased
GI motility and swallowing ability; urinary retention may occur
What is multiple sclerosis? Sx?
✔✔-Chronic, progressive, degenerative disorder of the CNS with
disseminated demyelination of nerve fibers of CNS
-Sx: ataxia, weakness, spasticity, hyperreflexia, chewing/swallowing
changes, tinnitus, decreased hearing, vertigo, paresthesia; first blurred
vision and diplopia; later dementia and bowel/bladder problems
Multiple sclerosis treatment
✔✔1. Initial: modify disease progression, prevent relapse