Neuro Assessments Flashcards
Lumbar puncture
Contraindicated in clients with increased ICP ( can cause hemorrhage and increase pressure. Avoid in pt that were in car accidents )
Contraindicated in clients with skin infections at or near puncture site (staph infections)
Post op for LP
Bed rest in flat position for 4-8 hours
Encourage fluids to facilitation CSF production
Administer analgesics ( headaches)
Monitor neuro signs
Watch for signs of chemical or bacterial meningitis
(Fever, stiff neck, photophobia)
Non invasive radiology
Skull and Paine xray
Cerebral angiography
CT scan
CT angiography
MRI
MRA
Positron emission tomography (PET)
myelogram
CT scan
identification of tumors infarctions
Hemorrhage
Hydrocephalus
Bone malformations
If ct scan doesn’t work doctor orders
MRI
Things that can inhibit an MRI
Metal on or in body
Know if they have pace maker (ask for their card)
MRI
Use to detect MS, tumor, trauma, hernia Timon and seizures
MRA
With contrast
Make sure you check injection site
PET SCAN
Stoke, AD, seizure disorders, PD and tumors
Myelogram
Used to detect herniated or ruptured disc , spinal tumor
Contrast injection
EEG
Seizures, sleep apnea , cerebral disease , brain injury or brain death
Take showers, avoid oily scalp
Tranquilizers and stimulants should be withheld
May be sleep deprived
Coffee tea chocolate and cola drinks omitted before test
Can be up to two hours
Why should tranquilers and stimulants, coffee tea and chocolate be avoided for eeg?
Can change brain wave patterns
EMG
Done for neuromuscular disorders, MS
Nerve conduction studies
Needle placed on skin over nerve to stimulate nerve
Evoked potentials
When you see this in disorders refer to this
