CSA Assessment Flashcards

1
Q

Why is a Neurological Assessment done?

A

To assess for disorders affecting the brain, spinal cord and nerves

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2
Q

Indications that a Neurological assessment should be done?

A
  • Loss of consciousness
  • Post Fall
  • Seizures
  • Suspected head injury
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3
Q

Pre-assessment considerations of things that may cause neurological changes in a patient

A
  • Medications
  • Cognitive impairment
  • Alcohol
  • Drugs
  • Communication Barriers
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4
Q

Things that can affect the findings of the motor response component of the assessment

A
  • Medications
  • Sedation
  • Brain injury
  • Comorbidities/pre-existing conditions
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5
Q

Signs of Neurological compromise

A
  • Unequal / unresponsive pupils
  • F.A.S.T
    Facial drooping, arm weakness, speech difficulty
  • Movement abnormalities
    Paralysis, seizure, tremor
  • Muscle tone abnormalities
    Rigidity, Flaccidity, Spasticity
  • Gait abnormalities
    Waddling
  • Abnormal postures
    Decorticate, Decerebrate
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6
Q

What is decorticate posture?

A
  • Flexion of arms, wrists and fingers
  • Extension, internal rotation and plantar flexion of lower extremities
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7
Q

What is decerebrate posture?

A
  • All 4 extremities are in rigid extension
  • Hyperpronation of forearms and plantar extension of feet
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8
Q

Why is a Neurovascular Assessment done?

A
  • Detection of nerve damage and/or compartment syndrome
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9
Q

What is compartment syndrome

A
  • Potential complication of musculoskeletal trauma/surgery
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10
Q

Indications that a Neurovascular assessment should be done?

A
  • On report of altered sensation
  • Musculoskeletal injuries
  • Spinal injury patients
  • Patients with restrictive dressings/splints/casts
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11
Q

Considerations of what can affect the outcomes of the assessment?

A
  • Cognitive impairments
  • Patients under sedation
    -Decreased level of consciousness
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12
Q

5 Ps of a neurovascular assessment?

A
  • Pain
  • Pallor
  • Paraesthesia
  • Pulse
  • Paralysis
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13
Q

Causes for unequal pupils?

A
  • Hereditary
  • lighting
  • Medications
  • Indication of cerebral injury
  • Drugs
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