Neuro emergencies Flashcards
1
Q
Altered mental status- Sx
A
- Change in arousal, consciousness
- Delirium, dementia and coma
2
Q
Altered mental status- Tx
A
- Determine underlying cause
- Glucose
- Stabilize vitals
3
Q
Coma- Sx
A
- Unarousable to stimuli, including pain
- Doll eyes
4
Q
Coma- Tx
A
- Tx underlying cause
5
Q
Stroke/ TIA- Sx
A
- Jumbled speech- aphasia and apraxia
- Unilateral motor deficits
- AMS
6
Q
Stroke/ TIA- Tx
A
- Airway
- Asses for trauma
- Tx cerebral edema
- Thrombolysis if indicated
7
Q
Status epilepticus- Sx
A
- Seizure lasting 5-15 min with out intervening periods of consciousness
8
Q
Status epilepticus-Tx
A
- Protect airway
- Benzos then phenytoin
9
Q
Spinal cord injury- Sx
A
- Head injury or trauma as mech of action
- Neuro deficits and complaints
- AMS, seiure
10
Q
Spinal cord injury- Tx
A
- Immediate immobilization
- ABCs
11
Q
Headache- Sx
A
- Sudden severe onset most concerning
- Focal neuro defecits
- Hx or trauma or nuchal rigidity, photophobia
12
Q
Headache- Tx
A
- CT to determine if emergency
- Neuro consult
13
Q
Syncope- Sx
A
- Transient loc
- May be due to CV issues, seizure
14
Q
Syncope- Tx
A
- Determine and tx underlying cause
- ECG, vitals
15
Q
Meningitis/ encephalitis- Sx
A
- Nuchal rigidity, photophobia, CSF findings
- Seizures and CN deficits
