GF2: Neuro Meningitis Flashcards
What does the NIH stroke scale indicate?
Severity of stroke
A NIH stroke score of 0 indicates…
No stroke symptoms
A NIH stroke score of 1-4 is indicative of…
Minor stroke
A NIH stroke score of 5-15 is indicative of…
Moderate stroke
A NIH stroke score of 16-20 is indicative of…
Moderate to sever stroke
A NIH stroke score of 21-42 is indicative of…
Severe stroke
Decorticate rigidity indicates what kind of injury?
Cerebral or upper midbrain injury above red nucleii
Decerebrate rigidity indicates what kind of injury?
Severe injury to the red nuclei of lower midbrain
Describe the doll’s eye assessment.
- Done for unconscious pts only
- Move pt’s head side to side
- Positive = Eyes stay centered (move in opposite direction of head turn)
- Negative = Eyes stay locked in orbit and do not move as head is turned
What are two contraindications of performing doll’s head assessment?
- C1-C8 injuries as head movement can further injury
- Increased ICP pts as it can increase pressure
What neural assessments are done to determine severity of neural injury?
- Glascow Coma Scale = level of consciousness
- Babinski’s sign: positive = upper motor neuron damage
- Doll’s head: negative = brainstem not intact
- Brudzinski’s sign = meningitis
- Kernig’s sign = meningitis
What is meningitis?
Inflammation of the meninges
How does meningitis affect LOC?
- LOC is decreased
- Disoriented to person, place, year
What are three assessments that are indicative of a meningitis infection?
- Nuchal rigidity
- Brudzinski’s sign = meningitis
- Kernig’s sign = meningitis
What are the pupil reaction and eye movement s/s of meningitis?
- Photophobia
- Nystagmus
- Involuntary rhythmic side-to-side, up and down or circular motion of the eyes
