Chapter 44: Nursing Management: Patients With Oncologic Disorders of the Brain and Spinal Cord
The nurse educator knows which statement about pituitary adenomas is true? 1- They are most prevalent in the pediatric population. 2- Most of these types of tumors are malignant. 3- Cushing disease can result from a functioning tumor. 4- Men are more likely to be diagnosed with this type of tumor.
3
Carbamazepine (Tegretol)
Anticonvulsant
phenobarbital
Anticonvulsant
meningiomas
Any of a class of noncancerous tumors arising from the meninges.
spinal cord tumors
Benign or malignant, primary or metastatic tumor of the spinal cord.
Diazepam (Valium)
Benzodiazepine
gliomas
Brain tumors that develop from glial cells
Primary brain tumors
Clinical presentation due to mass effects (e.g., seizures, demential, focal lesions); Primary tumors rarely undergo metastasis. The majority of adult primary tumors are supratentorial, while the majority of childhood primary tumors are infratentorial. Note: half of adult brain tumors are metastases (well circumscribed; usually present at the gray-white junction).
cranial nerve VII
Facial
cranial nerve IX
Glossopharyngeal
Tetrabenazine (Xenazine)
Huntington's; Orphan drug; Lots of side effects and interactions;
cranial nerve XII
Hypoglossal
cranial nerve III
Oculomotor
cranial nerve I
Olfactory
cranial nerve II
Optic
Intrathecally
Pertaining to within the spinal canal
pituitary gland
The endocrine system's most influential gland. Under the influence of the hypothalamus, the pituitary regulates growth and controls other endocrine glands.
Intramedullary tumors
Tumor originating within neural tissue
cranial nerve X
Vagus
cranial nerve VIII
Vestibulocochlear
Beck Depression Inventory (BDI)
a questionnaire useful for determining the level of depressive symptoms that a person is reporting
cranial nerve VI
abducens nerve
acoustic neuroma
benign tumor on the auditory nerve (8th cranial nerve) that causes vertigo, tinnitus, and hearing loss
Wernicke's area
controls language reception - a brain area involved in language comprehension and expression; usually in the left temporal lobe
cerebellar function
coordination; point-to-point touching, rapid, alternating movements, gait
nonfunctioning pituitary tumors
do not produce any significant amounts of these hormones
-ptosis
drooping
s/s of brain abscess
headache, fever, and progression to lethargy and confusion
temporal lobe function
hearing and smell
aphasia
impairment of language, usually caused by left hemisphere damage either to Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).
frontal lobe function
involved in motor function: problem solving, memory, judgment, impulse control
ataxia
lack of muscle coordination
Extradural tumors
located outside the dura and often involve the vertebral bodies.
glioblastoma multiforme
malignant brain tumor of immature glial cells
functioning pituitary tumors
often produce hormones in large and unregulated amounts
cranial nerve XI
spinal accessory
Nuchal rigidity
stiffness in cervical neck area
hypophysectomy
surgical removal of the pituitary gland
Mini mental status examination (MMSE)
tests the patient's concrete and abstract thought processes and long and short term memory
cranial nerve V
trigeminal nerve
cranial nerve IV
trochlear nerve
angioma
tumor of a blood vessel
Weber and Rinne test
use a tuning fork to distinguish between conductive and sensorineural hearing losses
Intradural-extramedullary tumors
within or under the spinal dura but not on the actual spinal cord