For those of you who did not get a study session on Neurology here are some key points that may help you study for the test.

I. There are two types of strokes or Cerebro Vascular Accident (CVA) pg. 1528 in Medical Surgical Nursing Book Table 56-2
1. Ischemic- more men than women-onset during or after sleep
2. Hemorrhagic-more women than men-onset during activity

The causes: Atherosclerosis (hardening of the arteries), atrial fibrillation, HTN, etc.
The main nursing diagnosis for a stroke: Ineffective tissue perfusion (cerebral) pg. 1537
Nursing assessment table 56-7 pg 1536

II. On page 1531 is a Fig. 56.6 which is manifestations of right-brain and left-brain stroke. Read this. Table 56.4 has the diagnostic studies for a stroke pg. 1532 & pg. 1533 has a table for Stroke care.

III. Make sure you read the tables in Chapter 56. If there is something you don't quite understand then read the subject matter.

IV. pg. 1550 Table 57-1 is on the different Types of headaches READ this as well as the Nursing assessment table on pg. 1553.

V. pg. 1556 Table 57-6 Classification of seizure disorders. Pg. 1558 management of tonic-clonic seizures.

VI. Know the difference between Multiple Sclerosis (MS) which is characterized by chronic inflmmation, demyelination, and gliosis (scarring) in the CNS, Parkinson's Disease which is a slowing down in the initiation and execution of movement (bradykinesia), increased muscle tone (rigidity), tremor at rest, and impaired postural reflexes, Myasthenia Gravis which is an autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups. The primary weakness is seen in the face (eyes, eyelids, chewing, swallowing, speaking, and breathing) and chest. ALS, Huntington's disease

VII. pg. 1582 Table 58-2 has information on Delirium, dementia, and depression. Know the clinical manifestations of dementia which are on pg. 1585 Table 58-4.

There will also be a Neurologic Signs & Symptoms video available to anyone who wants to watch it in the office. If there was a subject that your instructor focused on during lecture, study it.

I hope this helps. Good luck everyone!

Fernisa Sison
Instructor