Neuro

Question 1

What does a general neuro assessment include?

Answer 1

• PEARLA
• GCS
• LOC
• reflexes
• strength in arms and legs bilaterally
• inspection for drooping of face / weakness bilaterally
• sensory perception level
• Orientation x 3
• Kernigs + Badinski ??

Question 2

What are signs of stroke?

Answer 2

• Affected side of face will droop
• weakness/ inability to control movements
• constriction of affected pupil
• slurred speech
• Confusion
• Orientation compromised
• LOC compromised

Question 3

What do you do when pt having a seizure

Answer 3

Call for help
Move things out of the way
place pillow under head
Move pt to floor if in chair 
Dont put anything in their mouth
Recovery position post seizure + VS

IF SEIZURE DOESNT STOP, more than 2 min
Needs to be stopped with medication

Question 4

Precautions for spinal chord injuries?

Answer 4

Keep body stable
Do not induce autonomic dysreflexia, prevent stimuli (full bladder, restrictive clothing etc.)
Check reflexes, strength, sensation, color, assess which part is injured based on these

No meds PR

Question 5

What to assess with head injury?

Answer 5

Signs of increased ICP ( Decreased LOC, change in BP, confusion, altered vision)
amnesia( concussion) - post concussion syndrome
wounds/ injuries
Bleeding - hematoma
Leakage of CF from ears- halo test.

Question 6

What are types of headaches?

Answer 6

Cluster- one side, most painful, wakes you up
Migraine - pulsing, throbbing, nausea, disturbed vision, aura
tension type - Squeezing , most common, tight band