MDC 4 Exam 1 1. Triptans and ergotamine preparations are contraindicated in - Coronary disease because they vasoconstrict blood vessels. They can lead to a stroke or heart attack These meds are given for migraines 2. T/F: Suction, O2, padded side rails, and tongue blades are part of seizure precautions. - False. Tongue blades should not be used. Nothing goes in their mouth because they could aspirate by biting down on the blade Have access to an IV and keep the bed at the lowest position 3. What is it called when a patient comes in with a seizure that lasts for more than 5 mins or has multiple seizures back-to-back in a 30 minute period? - Status Epilepticus- medical emergency 4. What is the first drug you MUST administer if your patient is in status epilepticus? - Benzodiazepine- Lorazepam to stop the seizures then proceed with antiseizure meds like Dilantin 5. Patient teaching for anti-seizure meds - deactivates birth control. Use alternative methods of birth control if in childbearing age 6. After the seizure, what position do we place the patient in - on their side "recovery position" so they do not aspirate in case they vomit 7. Education for patients going home on anti-seizure medications - Take them on time Take them regularly Do not stop taking them Do not drive until you find out the cause of the seizures since it is reportable to the DMV due to public safety risk 8. Bradykinesia, muscle rigidity, mask-like face are clinical manifestations of... - Parkinson's Disease It is a chronic disease with concerns of falls and possible aspiration from trouble swallowing 9. Parkinson's Disease - not curable. Meds treat symptoms, possibly slow progression 10. Tonic-Clonic Seizure - tensing of muscles, convulsions Priority to keep patient safe: get them to the floor if not in bed 11. What is it called when the patient knows that they are about to have a seizure? - Aura ex. someone that can smell fresh baked cookies every time they are about to have a seizure. This is a cue. People with migraines also get an aura 12. Period after the seizure where they may be sleeping, confused, or hard to arouse? - Postictal phase common in tonic- clonic 13. Multiple sclerosis risk factors - -Females, 20-40 years old -May show up with different S/S depending on which area is affected -could be autoimmune. Can put them on immunosuppressants or corticosteroids which puts them at risk for infections 14. Multiple Sclerosis Treatment - treat symptoms if they have depression, give antidepressants Incontinence? give them straight cath, or indwelling catheter. If function incontinence, educate about elastic waist bands 15. Multiple Sclerosis Patient education - Give support because this is a chronic disease and they need to know how to manage their disease at home. Educate about periods of exacerbation. Know what can cause these exacerbations (infection, weather-- being over heated) 16. What is Gillian- Barre Syndrome - Ascending paralysis acute inflammatory disease Seen after exposure to viral infections (about 2-4 wks) 17. What system worries us the most about Gillian- Barre Syndrome? - Respiratory System. May need to intubate to support their airways due to paralysis ascending upward 18. What medications can be used if MS causes muscle spasms? - Baclofen- antispasmodic 19. Clients with migraines should avoid - Foods high in tyramine (marinated foods, fermented foods like yogurt, caffeine, red wine, MSG) Keep food diary to determine the causative agent of the migraine stay hydrated 20. Highest priority during the postoperative period is: - Monitor airway and O2 saturation