Memory Game Review for Exam 4 Sensory/Tissue Integrity/Neurodeg. DisordersOnline version Test your memory with cards featuring key concepts of neurosensory, neurodegenerative disorders, and tissue integrity for the nursing student by Kelly Sensorineural hearing loss Retina separates → flashes of light, floaters, curtain over vision; requires immediate evaluation (ocular emergency). Retinal Detachment post-op directions Excess inner ear fluid → vertigo, tinnitus, hearing loss, and ear fullness. Ménière’s disease Retinal Detachment Increased intraocular pressure → optic nerve damage and progressive peripheral vision loss. Keep incision clean and dry, avoid pressure to site; external processor activated after healing. Soft foods help minimize discomfort Perception of ringing, buzzing, or roaring in the ears without external sound; may interfere with sleep, concentration, and quality of life. Tinnitus Retinal Detachment – Warning Signs Permanent hearing loss → chronic loud noise damages cochlear hair cells Increased Intraocular Pressure Arterial Ulcer Dry Age-Related Macular Degeneration (AMD) Problem with sound transmission through outer or middle ear → sound is blocked from reaching inner ear (e.g., cerumen, fluid, infection) Gradual increase in intraocular pressure from impaired aqueous humor drainage → optic nerve damage and gradual peripheral vision loss (“tunnel vision”). Cochlear Implant – Postoperative Care Abnormal blood vessels grow under the macula and leak blood or fluid → rapid central vision loss; treated with intravitreal anti-VEGF injections (e.g., Ranibizumab). Drusen deposits damage the macula → gradual central vision loss. No medication cure; focus on prevention (leafy green vegetables, smoking cessation, eye monitoring). Open-Angle Glaucoma Lie prone, avoid vigorous exercise and lifting 15 pounds, sunglasses when outdoors Wet Age-Related Macular Degeneration (Wet AMD) Conductive hearing loss Glaucoma – Risk Factors Flashes of light, floaters, curtain/shadow over vision; often associated with trauma, heavy lifting Cataract Increased intraocular pressure → optic nerve damage; risk factors include age, family history, African American ethnicity, and diabetes. Caused by ischemia→ punched-out deep wound, hair loss, diminished pulses Avoid bending at the waist → bend at the knees instead, Avoid lifting heavy objects or straining, Avoid holding your breath during activity, Use stool softeners to prevent straining Autosomal dominant neurodegenerative disorder → chorea (involuntary jerking movements) and progressive cognitive decline. Slow shuffling gait, pill-rolling, slowed speech, difficulty swallowing Timolol Used for anaphylaxis → symptoms include wheezing, tongue swelling, hives, and airway compromise. Moist, red rash with satellite lesions in warm skin folds (groin, axilla, under breasts), Nystatin cream or powder Ascending paralysis → monitor respiratory function→ decreased ventilatory effort Corticosteroids Brimonidine Huntington's Disease Epinephrine Pressure Injury Staging Progressive neurodegenerative disease in which motor neurons in the brain and spinal cord die→ respiratory muscle weakness → ineffective cough → airway clearance priority Venous Ulcer Candidiasis (Skin) pooling → edema, irregular shallow ulcer, slow healing Lowers intraocular pressure; may cause mild burning/stinging and dry mouth after instillation. Wait 5 minutes between other drops, gentle pressure on nasolacrimal duct after instilling the drops Topical beta-blocker used to lower intraocular pressure; systemic absorption may cause bradycardia, hypotension, and bronchospasm. Stages 1–4 progress from superficial to deep tissue damage → redness → blister → fat → muscle/bone. Guillain-Barré Syndrome Risk Factors: Autoimmune response, genetic susceptibility, viral triggers, environmental factors (low vitamin D). Neuropathy/pressure → deep wound with callous formation Diabetic Ulcer Multiple Sclerosis Painful unilateral blistering rash along a dermatome → initiate appropriate isolation precautions. Pressure Injury – Priority Intervention Amyotrophic Lateral Sclerosis Herpes Zoster Used for inflammatory/autoimmune disorders → hyperglycemia, infection risk, fluid retention, GI irritation. Parkinson's Disease Relieve pressure → reposition client frequently and offload bony prominences, skin protection, support surfaces, nutrition/protein, friction & shear