Neuro Flashcards

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1
Q

a scale that measures the degree or level of LOC

A

glascow coma scale

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2
Q

3 responses of glascow coma scale

A

eye opening
motor response
verbal response

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3
Q

factor that can alter the GCS

A

drug use
alcohol intoxication
shock
hypoxia

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4
Q

eye opening levels

A

1-no response
2-to pain
3-to verbal command
4-spontaneous

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5
Q

motor response levels

A
1- no response
2- extends abnormally
3- flexes abnormally
4-flexed/withdraws
5- to localized pain
6- to verbal command
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6
Q

verbal response levels

A
1- no response
2- incomprehensible sounds
3-inappropriate words
4- disoriented/talks
5-oriented/talks
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7
Q

normal pupil size

A

2-6 mm

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8
Q

a babinski reflex is normal in a child up to ___ year

A

1

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9
Q

the babinski reflex is abnormal in the _____

A

adult

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10
Q

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

A

curling

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11
Q

what does it mean if the adult fans their toes?

A

severe problem in the central nervous system

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12
Q

a normal reflex would be documented as

A

2+/4+

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13
Q

a series of abnormal reflex movements of the foot, induced by sudden dorsiflexion

A

ankle clonus

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14
Q

takes pictures in slices (layers)

A

CT scan (computerized tomography)

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15
Q

is dye used with CT scan?

A

Yes

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16
Q

important to tell client during CT scan?

A

No talking

keep head still

17
Q

which is better CT or MRI?

A

MRI

picks up on problems earlier

18
Q

is dye used with MRI?

A

not usualy

19
Q

radiation is not used during an MRI, but a ____ is

A

magnet

20
Q

tell patients doing an MRI

A

no jewelry
no credit cards
no pacemakers
old tattoo’s may contain lead

21
Q

do fillings in teeth matter with an MRI?

A

NO

22
Q

what type of patient can’t tolerate an MRI?

A

claustrophobic

23
Q

X-ray of cerebral circulation

A

cerebral angiography

24
Q

why is a consent needed for cerebral angiography

A

dye is used

25
Q

for a cerebral angiography they go through the _____ artery

A

femoral

26
Q

pre-cerebral angiography

A

well hydrated
BUN/CR
UO
hold metformin

27
Q

bed rest for __-___ hrs post op cerebral angiography

A

4-6

28
Q

PC with cerebral angiography post-op

A

embolus

29
Q

records electrical activity of the brain

A

electroencephalography (EEG)

30
Q

EEGs evaluate _____ and _____

A

loss of consciousness and dementia

31
Q

EEGs are an indicator of ____ death

A

brain

32
Q

pre procedure EEG?

A

hold sedatives
no caffeine
NOT NPO

33
Q

where is the lumbar puncture site at?

A

lumbar subarachnoid space