NURS 3120 Lecture Notes - Lecture 10: Diplopia, Paralysis, Cardiovascular Disease
Document Summary
Problem based: headaches: describe headache, what does it feel like, location, duration, any recent surgeries that required spinal anesthesia/lp/epidural anesthesia. Gradual: objective vertigo: room feels like it is spinning, subjective vertigo: person feels like they are spinning. Stress/meds: after the event, headache, muscles ache, sleepy, loss of time or memory of event, can you work, identification med alert band. Problem based: changes in movement: changes in mobility, continuous. Intermittent: tremors/numbness, shaking of hands, when did you first notice a change, anxious/anxiety disorder, what relieves the tremors, can you work/dress/drive, weakness in a part of the body, coordination or balance issues, legs suddenly give way. Inflammation of the meninges that surround the brain & spinal cord. Cns conditions: spinal cord injury: sci: traumatic disruption of sc, vertebral fractures & dislocations seen in mva"s, sports injuries & any violent impact. Injury to thoracic or lumbar sc: paraplegia: paralysis is below level of injury, loss of bowel/bladder control, spastic paralysis.
