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Can confusion from brain met show itself suddenly?



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No. 10
from Sabby_NC
Old Oct 19, 2007, 11:42 AM

Default Re: Can confusion from brain met show itself suddenly?
Originally Posted by earle58 View Post
up to 60% of lung ca pts, have brain mets.
yes, it can show itself that suddenly.
but she was presenting with lethargy before that, right?
likely r/t increased icp- hallmark s/s are nausea, ha, altered loc

depending on where the brain lesion is, it will manifest itself in sev'l ways.

visual
ha
n/v
loc
numbness, tingling (not to be confused with tingling in hands/feet r/t chemo)
paralysis
gait, balance
speech
seizures
ms

if can be confirmed through ct or mri, preferably mri.
there are treatments, all with poor prognosis.

she'll need atc care, tazz.
and probably, some haldol.

leslie
Yes I agree with my matey Leslie.
Can be very frightening to the family at these sudden and irreversible changes.
Hang in their Tazzie.
Would they consider Hospice care for her??
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No. 11
from TazziRN
Old Oct 19, 2007, 11:23 PM

Default Re: Can confusion from brain met show itself suddenly?
Originally Posted by Zookeeper3 View Post
ahh, missed that, sorry, thought you were kicking yourself in the arse. We need to communicate better, seem to miss each others points, sorry My bad, grab the fish and have at it

umn, reviewing your post, it's very difficult, not knowing your client. Unfortunately with home health there are so many more unknown variables than having complete control at our "in hospital nursing".

In fairness, your post isn't clear as how the patient was double dosed , or I'm an idiot (most likely), but re-read your post, remember that I can't read your mind, you do leave a bit out at times and I misread you the others. I don't see where a double dose occurred??

HELP, you're hitting wine time here and now I'm re-reading too much worked last night in short, yep, drinking wine. love ya
*hmph* You're s'posed to be able to read my mind, what's wrong with you?????

Pt was given morphine by Daughter and less than three hours later Pt forgot and took another one.

Originally Posted by bigsyis View Post
Wow, Tazz, are you getting some unusual cases! I read your post just after I was talking with an Echo Tech instructor who works part time on-call at the hospital. Last night he had a fiftyish man who was dx w/small cell lung ca last week. He was sitting with his feet elevated yesterday evening watching TV when his left foot "turned as blue as a bluberry, and it was so cold you could have chilled a 6-pack with it." Turns out he had thrown an arterial clot secondary to the lung CA. May be your pt had one go to the brain?
Pt was discharged last weekend after having clots, but MRI two days earlier showed nothing in the brain. I saw her today, she seems way more alert than the other day. Lots of weird family dynamics going on, this goes way deeper than I thought.
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No. 12
Old Oct 19, 2007, 11:33 PM

Default Re: Can confusion from brain met show itself suddenly?
It can also occur suddenly if there is a bleed secondary to the tumor.
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