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Health Assessment > Neuro Assessment > Flashcards

Neuro Assessment Flashcards

1
Q

RED FLAG symptoms

A
  1. headache
  2. n/v
  3. dizziness
  4. weakness
  5. numb/tingling
  6. loss of consciousness
  7. seizures
  8. tremors
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2
Q

Pt education on stroke prevention

A
  • ABC
  • LOC
  • asymmetric findings
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3
Q

Stroke considerations

A
  • confusion
  • trouble speaking
  • dizzy
  • loss of balance
  • trouble seeing
  • severe headache
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4
Q

WARNING SIGN of stroke

A

sudden numbness or weakness in face, arm, leg

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5
Q

Stroke risk factors include

A
  1. hypertension
  2. smoking
  3. hyperlipidemia
  4. diabetes
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6
Q

Delirium

A

confusion, altered mental status from physical/mental illness
(withdrawal, UTI, location change)

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7
Q

Dementia

A

symptoms cause by brain disorder that causes memory loss
(Alzheimer’s)

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8
Q

Mental status exam components

A
  1. appearance & behavior
  2. speech & language
  3. mood
  4. thoughts & perceptions
  5. cognitive function
    * mini mental status exam (MMSE)
    • 11-point exam
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9
Q

Alert

A

Awake, eye contact

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10
Q

Lethargic

A

sleepy, wakes up to voice immediately

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11
Q

Obtunded

A

nodding off continuously

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12
Q

Stuporous

A

wont wake, painful touch

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13
Q

Comatose

A

nonresponsive

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14
Q

orientation

A

person, place, time

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15
Q

Pressure speech

A

cant get words out fast enough

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16
Q

Aphasia speech

A

trouble getting words out

17
Q

The neurological examination consists of

A
  1. mental status exam
  2. cranial nerve exam
  3. moto/coordination exam
  4. sensory exam
  5. reflex exam
18
Q

Pasue and look at patient (general survey)

A
  • posture
  • behavior
  • expression
  • hygiene
19
Q

Motor systems

A
  1. motor
  2. cerebellar
  3. vestibular
  4. sensory systems
20
Q

you need motor, cerebellar, vestibular, and sensory systems for what?

A

coordination of muscle movements

21
Q

Cerebellar tests

A
  1. rapid altering movements
  2. point to point movements
  3. gait
  4. stance
  5. pronator drift
22
Q

Motor system grading strength

A

0: no movement
1: visible contraction
2: FROM w/ gravity eliminated
3. FROM against gravity
4. FROM against some resistance
5. FROM against full resistance

23
Q

Deep tendon grading

A

0: no response
1+: somewhat diminished
2+: average, normal
3+: brisker than average
4+: very brisk, hyperactive

24
Q

Sensory system

A
  1. pain, light touch (must feel on both sides)
  2. position sense & vibrations
  3. discriminative sensations
25
Q

In a neuro exam you will test for

A
  1. rapid altering movements
  2. point to point movements
  3. gait
  4. stance
  5. strength
26
Q

Basic Assessment

A

initial assessment w/ every pt
(baseline)

27
Q

Basic + assessment

A

when you suspect a neuro change
OR
pt has history of nero diagnosis
OR
taking medication that alters neuro

28
Q

Glasgow coma scale examines

A

LOC, orientation, push/pull, pupils

29
Q

Glasgow coma scale documenting

A

follows commands, 5/5 strength upper and lower extremities bilaterally, PERRLA

30
Q

Normal score on Glasgow Coma Scale

A

15

31
Q

Bad score on Glasgow Coma Scale

A

3

32
Q

Decorticate rigidity

A

pulling into core
flexed internally rotated

33
Q

Hemiplegia

A

flaccid
externally rotated

34
Q

Decerebrate rigidity

A

flexed
pronated extended

35
Q

Rapid altering movement examples

A
  • hand flips on thighs
  • toe tapping
  • finger tapping of thumb
36
Q

Point to point movement examples

A
  • eyes closed, pt points finger to nose
37
Q

Gait examples

A

heel to toe, on heels or toes, knee bend

38
Q

Stance examples

A
  • Romburg test
  • pronator drift
39
Q

Basic + examine

A
  1. orientation & LOC (AOx3)
  2. pupils (PERRLA)
  3. push/pull (5/5 strength on upper & lower extremities bilaterally)
  4. EOMS (EOMS intact bilaterally)
  5. visual fields by confrontation (visual fields full by confrontation)
  6. facial palsy (no facial palsy)
  7. pronator drift (no pronator drift)
  8. speech
    * follows commands, able to smile, raise eyebrows symmetrically

Health Assessment (5 decks)

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