Complex Care of the Neuro Pt Flashcards

1
Q

Blood Glucose

A

Sole energy source of the brain

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2
Q

Cerebral glucose less than 70 s/s

A

CONFUSION

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3
Q

Cerebral glucose less than 20 s/s

A

Damage

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4
Q

Increased MAP causes cerebral

A

consriction

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5
Q

Decrease MAP causes cerebral

A

Dilation

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6
Q

Elevated CO2 causes cerebral

A

vasodilation

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7
Q

Decrease 02 (hypoxia) causes cerebral

A

Vasodilation

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8
Q

Cerebral Perfusion Pressure

A

CPP= MAP - ICP
Normal CPP 60 - 100

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9
Q

Cerebral circulation

A

Cerebral veina - venous sinuses - internal jugular - superior VC

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10
Q

Co2 is a

A

VASODILATOR

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11
Q

Hypotension causes ? in cerebral circularion

A

Decrease cerebral Blood flow

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12
Q

Hypertension causes ? in cerebral circulation

A

ICP

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13
Q

Normal ICP

A

0 - 15 mmHg

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14
Q

Increased ICP

A

Greater than 20 mmHg for more than 5 minutes

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15
Q

ICP = MAP cerebral blood flow ceases. WHen does ICP = MAP

A

Hypotension, hypovolemia

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16
Q

Increased ICP Causes: Brain Volume

A

Cerebral Edema
Cytotoxic
Vasogenic

17
Q

INcreased ICP Causes : Blood Volume

A

Loss of autoregulation
Decreased Oxygenation

18
Q

Increased ICP Causes”: CSF

A

CSF is blocked

19
Q

Increased ICP S/S

A

Decreased LOC (Glascow Coma Scale-GCS)
 Unequal pupil size
 Projectile vomiting
 Headache
 Altered breathing pattern
 Cushing’s triad=bradycardia, hypertension (SBP), and bradypnea
 Decreased brain stem reflexes
 Cough/gag?
 Papilledema
 Decerebrate/Decorticate posturing
 Decerebrate=arms/legs extended
 Decorticate=arms flexed/legs extended

20
Q

Meds for increased ICP

A

Osmotic Diuretics - mannitol, hypertonic saline
Loop diurerics
Fluid Adm - isotonic
CSF Drainage

21
Q

Medical Management of ICP

A

BP - 70-90
avoid hypotension
avoid hypertension
temp control
seizure control
sedation
NM blockers

22
Q

Nurse MAnagement ICP

A

Positioning: HOB elevated, neutral head position, turn side to side
Suctioning” only when necessary. Pre oxygenation, limit 10 seconds, 2 passes
Assessment - neuro exam , VS