Chapter 17 Neurologic Emergencies Flashcards
The three major parts of the brain are the:
Cerebrum, cerebellum, and brainstem
What is a symptom that would lead the EMT to believe that a patients headache is caused by sinus congestion?
The pain is worse when bending over
The most significant risk factor for a hemorrhage stroke is:
Hypertension
The patient whose speech is slurred and difficult to understand is experiencing (the term):
Dysarthria
What is a condition that would likely mimic the signs and symptoms of a stroke?
Hypoglycemia
What can describe a simple partial seizure?
A seizure that begins in one extremity
What will the patient most likely experience during the postictal state that follows a seizure?
Confusion
Fatigue
Labored respirations
Altered mental status
You respond to a residence for a child who is having a seizure. Upon arrival at the scene, you enter the residence and find the mother holding her child, a two-year-old male. The child is conscious and crying. According to the mother, the child has been running a high fever and then experienced a seizure that lasted approximately 3 minutes. You should:
Transport the child to the hospital and reassure the mother in route
A patient with an altered mental status is:
Not thinking clearly or is incapable of being aroused
When caring for a patient with documented hypoglycemia, you should most be alert for:
A seizure
During the primary assessment of a semi-conscious 70-year-old female: you should:
Ensure a patent airway and support ventilation as needed
You are caring for a 68-year-old man with sudden onset of left sided paralysis and slurred speech. Airway is patent, his respirations or 14 breaths/min with adequate depth, and his oxygen saturation is 98%. Treatment for this patient should include
Recovery position and transport
When you’re obtaining medical history from the family of a suspected stroke patient, it is most important to determine:
When patient last appeared normal
When assessing for arm drift of a patient with a suspected stroke, you should:
Ask the patient to close his or her eyes during the assessment
Your patient opens his eyes moans and pulls away from you when you pinch his check easiest muscle. You should assign a Glasgow Coma Scale (GCS) of
Eight
The patient who is possibly experiencing A stroke is not eligible for thrombolytic therapy if he or she
Has bleeding in the brain
A 30-year-old male experienced a generalized seizure, which stoped before you arrived at the scene. The patient is conscious, is answering your questions appropriately, and refuses EMS transport. What would be the a compelling reason to disagree with his refusal of transport?
He is currently not prescribed any medications
The left cerebral hemisphere controls:
The right side of the body
What condition would most likely affect the entire brain?
Respiratory failure or cardiopulmonary arrest
When the blood flow to a particular part of the brain is cut off by a blockage inside a blood vessel, the result is:
An ischemic stroke
Patients with a subarachnoid hemorrhage typically complain of a sudden severe:
Headache
The principal difference between a patient who has had a stroke and the patient with hypoglycemia almost always has to do with the:
Mental status
Headaches, vomiting, altered mental status, and seizures are all considered early signs of:
Increased intracranial pressure
You are called to a home and find a 56 your old woman supine in her bed. She appears alert, but has slurred speech. Her family tells you she has a history of TIAs and hypertension. You asked the patient, “What day is today?” and her reply is, “Butterfly”. Which area of the brain is likely affected?
The left hemisphere
