Across
- 1. Temporary loss or decreased spinal reflexes with motor, sensory and autonomic activity below the level of the injury. Can last 1-6 weeks after injury. End of this is indicated by return of reflex activity below level of injury.
- 3. Medication for ischemic strokes if given within the 4.5 hour window. Includes Tissue plasminogen activator (tPA), Alteplase, Reteplase, Tenecteplase, Streptokinase, Urokinase, and Anistreplase
- 5. This type of brain bleed is associated with a venous bleed. The patient may have gradual decline of mental status as blood builds. Seen more commonly in older adults and chronic alcoholics.
- 6. Glasgow coma scale score that indicates severe deficits and should include a plan for intubation and mechanical ventilation to assist with airway protection and oxygenation needs.
- 8. Late signs of increased intracranial pressure that includes bradycardia, wide pulse pressure and irregular respirations
- 13. Most common adult onset motor neuron disease; is the gradual breakdown of motor neurons. Patient becomes paralysed, but mental and sensation is intact. Initial complaints includes weakness, muscle cramps and twitching. Leads to paralyzation of diaphragm and necessity of mechanical ventilation
- 15. medication given to inhibit acetylcholine breakdown. Given 4X per day or in an extended release tablet.
- 16. CNS disease that destroys myelin sheath, #1 sign is muscle spasticity, clinical diagnosis includes lesions on spinal cord &/or brain, has 4 types: most common is Relapsing-remitting. Treat with high dose steroids.
- 18. Mental status changes such as aggression, confusion, emotional labile, decreased level of consciousness are all ________ signs of increased ICP.
- 19. This stroke client has trouble with impulsiveness. They are unaware of their deficits and can get easily frustrated and angry. Simple and short directions are needed.
- 20. This type of brain bleed where the patient may initially lose consciousness, then awaken and appear lucid. They will the rapidly decline to unresponsiveness with signs of cerebral herniation syndrome. This is associated with arterial bleeds.
- 21. Myasthenic _____________ can be caused by a respiratory infection, change in medications, surgery, or pregnancy in a patient with Myasthenia Gravis.
- 22. Treatment in autoimmune diseases involving filtering blood to get rid of bad antibodies that are attacking the body and replacing them with IVIG (good antibodies). Can reduce severity and length of clinical manifestations.
Down
- 2. Occurs when injuries are above T6. The sympathetic nervous system is in control. Common causes are bladder fullness, constipation, skin breakdown. Causes life threatening hypertension. Treat with relieving the cause. Other treatments include sitting up to 90*, using nitroglycerine paste or nifedipine (intravenously).
- 4. Starts at the toes and up it goes. Usually triggered by some viral infection (pneumonia, influenza, etc.). Ascending weakness starts as tingling and weakness in the feet. Complications include involvement of respiratory muscles requiring intubation, paralytic ileus, and possible ANS involvement (most severe cases)
- 7. the first medication known to slow the progression of amyotrophic lateral sclerosis (ALS)
- 9. Medication given to patients with increased intracranial pressure to decrease cerebral edema.
- 10. Skull fracture location associated with Battle's Sign and Raccoon Eyes
- 11. When this is in place for a spinal injury: move the patient as a single unit (log roll), monitor for signs/symptoms of pin site infection, check under the vest for skin breakdown, never remove device - but have wrench on vest in case of emergency.
- 12. autoimmune disease that attacks neuromuscular junction; depending on location of damage (ocular, bulbar or generalized) depends on clinical manifestations - but includes ptosis, trouble chewing and swallowing, respiratory issues, mask like features, strabismus, diplopia
- 14. The "worst" type of posturing with extension of arms, wrist pronation and feet flexed.
- 17. This stroke client has difficulty with speech (expressive, receptive or global).