Nov 26 2008
bells palsy; traumatic experiences
Hello nurses, did u ever get a chance to work in Neuro ICU? , oh it’s really fun.we discuss some interesting diseases related to neurology.
Bells palsy is the unilateral facial paralysis in which, facial nerve got compressed in the narrow bone canal below the ear as result of the inflammation and swelling of the facial nerve(cranial nerve V11.Herpex simplex virus is one of the reason for the bells palsy. in some cases paralysis occurs as result of the demyelination of the facial nerve. Eye in the affected side are unable to close and cornea must be protected from drying and otherwise lead to blindness. Other disease like stroke, tumor, and Lyme disease may cause the facial paralysis, so we should able to figure out the exact reason of paralysis. Usually RX with anti-inflammatory (prednisone) or anti viral drugs (acyclovir).
Complications we see most often are loss of taste (ageusia), chronic facial paralysis, and corneal infections.
As nurses we should take care of the psychological aspect of the patient and we should protect the patient’s eye from drying. We should cover the eye with eye pad. We can give ointment, eye drops as per ophthalmologist or neurologist order.
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