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SET 1 > Neuro > Flashcards

Neuro Flashcards

1
Q

What is cranial nerve 1

A

Olfactory

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2
Q

What is cranial nerve 2?

A

Optic Visual

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3
Q

What is cranial nerve 3?

A

Oculomotor - Pupil Constriction

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4
Q

What is cranial nerve 4?

A

Trochlear - extraocular

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5
Q

What is cranial nerve 9

A

glossopharyngeal, gag reflex ability to swallow.

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6
Q

What are clients instructed to do limit risk of aspiration?

A

inhale deeply
hold breath tightly to close vocal cords
place food in mouth and swallow holding breath
cough to dispel remaining food
swallow a second time.

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7
Q

What is a rare but life-threatening symptom from anaesthetic?

A

malignant hyperthermia
triggered by anesthetic agents - succinylcholine. leads to muscle contraction and rigidity, high temp, and increased oxygen demand.

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8
Q

What is important to do for quad pts?

A

they are completely or partially experiencing paralysis of upper limbs. Edema may be at the cervical cord leading to airway and oxygen difficulty.

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9
Q

What is an epidural hematoma?

A

Accumulation of blood between the skull bone and dura mater. leads to a
fracture in temporal
rupture or tear in middle meningeal artery

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10
Q

What is a clinical presentation of epidural hematoma?

A

loss of conscious and regain conscious feeling normal called Lucid interval

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11
Q

What can lucid interval lead to?

A

decline in mental function > coma> death

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12
Q

What is the treatment for bell’s palsy?

A

steroids, eye protection

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13
Q

what are the signs and symptoms trigeminal neuralgia?

A

unilateral facial pain when the face is bothered taking hot or cold. talking, or touching.

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14
Q

What can the glasgow coma use to determine?

A

LOC, eye opeining response, verbal response, and motor response.

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15
Q

What is the drug Sumatriptan?

A

It is a serotonin to treat migraine headaches by constricting cranial blood vessels.

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16
Q

What is sumatriptan contraindicated for?

A

Clients with CAD and uncontrolled hypertension.

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17
Q

What are thrombolytic agents?

A

Ending in -plase, to resolve thrombotic events.

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18
Q

Which clients are contraindicated for thrombolytic agents

A 
Stroke <3 mnths
Hemorrhage - not period 
anerurysm 
atrovenous malformation 
unctronlled hypertension 
recent trauma
active bleeding.
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19
Q

What is autonomic dysreflexia

A

Spinal injury at T6 higher, when the parasym, cannot counteract SNS stimulation.

20
Q

What are triggers of autonomic dysreflexia?

A

distended bladder/rectum.

21
Q

What are signs and symptoms of of autonomic dysreflexia?

A

hypertension, headache, diaphoresis, brady, goose bumps, flushing

22
Q

What is transverse myelitis?

A

spinal cord inflammation from a viral infection.

23
Q

What are the symptoms of transverse myelitis?

A

paralysis, urinary retention, bowel incontinence.

24
Q

What are the signs and symptoms of increase ICP in children?

A

Bulging fontanelles, increased head circumference, sunset eyes.

25
Q

What is the phenytoin range?

A

10-20

26
Q

What are the s&s of bell’s

A

inability to close the eye
tear production alteration
flat nasolabial
inability to smile

27
Q

What nerve does bell’s palsy affect?

A

C VII

28
Q

What can you check for bacterial meningitits?

A

Increased ICP seen via, hydrocephalus = bulging fontanels.

29
Q

What is status elipticus?

A

lifethreatening emergency, a seizure for more than 5 minutes

30
Q

What are s&s of status epilepticus?

A

grunting, dazed.

31
Q

What med to control seizure?

A

benzodiazepine

32
Q

What worsens status epilep?

A

VP shunt

33
Q

What is receptive aphasia?

A

impairment or loss of language comprehension.

34
Q

How do you talk to someone with aphasia?

A

yes or no
pictures
remain calm.

35
Q

What is delirium?

A

acute or fluctuating change in mental status

36
Q

What are factors precipitating delirium?

A 
multiple medications
electrolyte
hypoxia
acute infection 
sleep deprivation 
dehydration 
metabolic disorder
Stroke/dementia
untreated pain
37
Q

What is myelomingocele?

A

Neutral tube fails to fuse during development

38
Q

Intervention for myelomingocele?

A

Cover the area with a sterile moist dressing to decrease risk of infection.

39
Q

What are the signs and symptoms of neurogenic shock?

A

Bradycardia

hypotension

40
Q

Gullian-Barre syndrome?

A

Is an immune-mediated polyneuropathy

41
Q

s/s of Gullian Barre syndrome?

A

Ascending muscle paralysis and absence of reflexes.

42
Q

What is the most threating aspect of Gullian Barre syndrome?

A

Neuromuscle respiratory failure.

43
Q

What is a gold standard for Gullain Barre ?

A

Bedside forced vital capacity - SPIROMETRY

44
Q

What CNS nerves you evaluate Gullian Barre?

A

II - Optic
III - Oculormotor
IV - Trochlear
VI - Abducens

45
Q

What are s/s of cerebral aneurysm?

A 
Diplopia 
seizures
stiff neck 
vomiting
headache

SET 1 (19 decks)

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