8/2/2019 Chart of Neuro Disorders
1/1
Disease Description Symptoms Nursing care
Meningitis inflammation of meninges
constant h/a, stiff neck,extension of extemitieswith flexion of
neck
droplet precaution, rest,Drugs:antibiotics,anticonvulsant
(Dilanton) MRI,CT show increased ICP
Brain Abscess infectious materialwithin brain brain shift, h/a,
fever, focaldefects MRI, CT ID size/location,control ICP, Drugs:
antiseizure(pehnyotin)
Encephalitis acuteinflammation of brain tissue
fever, h/a, focal symptoms,altered LOC
meds depend on type. acyclovirused for viral type
MultipleSclerosis
plaquedevelopment inwhite matter
fatigue, pain, dipolpia,vision problems, vertigo,ataxia, hearing
problems
monitor speech/vision/hearing,Drugs: immunosuppresant(Imuran),
Corticosteroid(Prednisone)
Myastheniagravis
autoimmune,antibodies
interfere withtransmission of AcH
exacerbation/remission:muscle weakness,
respiratory dysfunction,fatigue, swallowing prob
maintain patent airway, assessswallowing, sit client
upright,
anticholinesterase agents,Prostigmin inhibits breakdownof
AcH
Guillain-BarreSyndrome
acute destructionof myelin sheath
weakness, paralysis, hasrecovery period
WBC elevation, lumbarpuncture shows increase in ICP,monitor
resp, BP, skinbreakdown. Drugs: neurotoninfor pain
Trigeminalneuralgia
condition of 5 th cranial nerve,unilateral shootingpain
pain, facial twitching avoidance of behaviors thatcause pain.
Drugs: antiseizure(Tegretol)
Bells palsy condition of 7 th cranial nerve,paralysis of
face
unilateral paralysis,spontaneous recovery
protect eye, corticosteriodtherapy (Prednisone)
Huntingtons hereditary,premature death of cells of
basalganglia
involuntary choreiform(abnormal involuntarymovements)
no cure, Dopamine blockers(Navane, Haldol)
ALS loss of motorneurons in anteriorhorn
fatigue, cramps,incoordination, overreactive reflexes
maintatain patent airway,Gluatmate antagonist (Rilutek),slows
deterioration of motorneurons
Parkinsons overstimulation of AcH
tremor, muscle regidity,bradykinesia, posturalinstability
Dopaminergics, Dopamineagonists, Anticholinergics
