Neuro Flashcards
a scale that measures the degree or level of LOC
glascow coma scale
3 responses of glascow coma scale
eye opening
motor response
verbal response
factor that can alter the GCS
drug use
alcohol intoxication
shock
hypoxia
eye opening levels
1-no response
2-to pain
3-to verbal command
4-spontaneous
motor response levels
1- no response 2- extends abnormally 3- flexes abnormally 4-flexed/withdraws 5- to localized pain 6- to verbal command
verbal response levels
1- no response 2- incomprehensible sounds 3-inappropriate words 4- disoriented/talks 5-oriented/talks
normal pupil size
2-6 mm
a babinski reflex is normal in a child up to ___ year
1
the babinski reflex is abnormal in the _____
adult
the adult or child greater than 1 year should have a normal reflex or ______of the toes when the bottom of the foot is stroked
curling
what does it mean if the adult fans their toes?
severe problem in the central nervous system
a normal reflex would be documented as
2+/4+
a series of abnormal reflex movements of the foot, induced by sudden dorsiflexion
ankle clonus
takes pictures in slices (layers)
CT scan (computerized tomography)
is dye used with CT scan?
Yes
important to tell client during CT scan?
No talking
keep head still
which is better CT or MRI?
MRI
picks up on problems earlier
is dye used with MRI?
not usualy
radiation is not used during an MRI, but a ____ is
magnet
tell patients doing an MRI
no jewelry
no credit cards
no pacemakers
old tattoo’s may contain lead
do fillings in teeth matter with an MRI?
NO
what type of patient can’t tolerate an MRI?
claustrophobic
X-ray of cerebral circulation
cerebral angiography
why is a consent needed for cerebral angiography
dye is used
for a cerebral angiography they go through the _____ artery
femoral
pre-cerebral angiography
well hydrated
BUN/CR
UO
hold metformin
bed rest for __-___ hrs post op cerebral angiography
4-6
PC with cerebral angiography post-op
embolus
records electrical activity of the brain
electroencephalography (EEG)
EEGs evaluate _____ and _____
loss of consciousness and dementia
EEGs are an indicator of ____ death
brain
pre procedure EEG?
hold sedatives
no caffeine
NOT NPO
where is the lumbar puncture site at?
lumbar subarachnoid space
