Cranial Nerve assessment Flashcards
1
Q
1
A
Identify a smell
2
Q
2
A
visual acuity and visual fields
3
Q
3
A
Tested with 4 and 6
- follow pen around visual fields
- Check how much eyelid covers of eye, should be 1/3
- Observe PEARL
4
Q
4
A
Tested with 3 and 6
- follow pen around visual fields
- Check how much eyelid covers of eye, should be 1/3
- Observe PEARL
5
Q
5
A
Get pt to close eyes
Touch 3 divisions of nerve on both sides
Get pt to grit teeth
6
Q
6
A
Tested with 3 and 4
- follow pen around visual fields
- Check how much eyelid covers of eye, should be 1/3
- Observe PEARL
7
Q
7
A
Ovesrve facial symmetry
Frown, show teeth, puff cheeks and try to open closed eyes
8
Q
8
A
Occlude ear and whisper in the other
Ask pt about vertigo, tinnitus or alterations in balance
9
Q
9
A
Gag reflex - not done
Ask pt to say ‘kick the cat’
Swallow water observe for coughing
10
Q
10
A
Tested with 9.
Observe ability to cough, intubated pts observe for cough on suctioning
11
Q
11
A
Raise shoulders against resist
Puff cheeks
12
Q
12
A
Move tongue side to side, poke tongue into cheek