Head/Neck/Neuro/NG Flashcards
NG tube Indications
-Bowl obstruction
-Distention
-Absent bowl sounds
-Poisoning
-Lavage (Leaving) Gavage (give)
Enteral Nutrition Inidcations
-Can not swallow
-Stroke
-Anorexia
-Malnourished
NG tube has a ________ for creating ____________ and to __________ contents out of the stomach
Pigtail, Negative Pressure, Lavage
Keep head of bed at _________ to combat aspiration in tube feeding
30-45%
Tuck chin to close
Glottis to get the tube past it
Contraindications for NG tubes
Skull or facial factures
Assessment before place a tube
-Respiratory
-Abdominal
-N/M/T
-Head face neck
Flush with how many mL’s to start. Flush with how many mL’s at the end
-15-30 at start
-30-60 at end
Lymph Nodes
- Preauricular
- Postauricular
- Occipital
- Posterior cervical
- Submental (one finger)
- Submandibular
- Superficial cervical
- Deep cervical chain
- Supracalvicular
What are the two arteries you palpate during the head-neck assessment
-Temporal
-Carotid
Grade on a 4+ scale
Term used to describe the skull that is round, symmetric, and sized appropriate to the body
Normocephalic
Sinus under the cheek bone
Maxillary
Babinski
-Upper neuron motor lesion
-You want a negative: Older than 2 toes should curl downward
-Postive: Toes flare outward
What test for cerebellar function?
-Romberg
-Tandem Walking
Muscle strength is graded on what scale?
0-5
Pronator Drift
Middle and upper arm weakness
Increased Pain Sensation
-What is Hyperalgesia
Position of patient should be in before placement of NG
High fowlers
What Cranial nerve is being assessed with facial structures
VII
Cranial Nerves being assessed in smell or taste
Cranial nerve I
Cranial nerve VII
Cranial Never IX
Cranial Nerve being assessed for tongue and speech
XII
Cranial Nerve being assessed in swallowing
IX and X
Cranial Nerve being assessed in PERRLA
Cranial nerve III
Cranial nerve IV
Small Skull
Microcephaly
Large Skull
Macrocephaly
