Neuro Exam Flashcards
Components of Neuro assessment
Mental Status/LOC Behavior Cranial Nerves Motor Sensory Coordination
Most reliable indicator for neuro assessment
Changes in LOC
Unconscious pt pain response how to test?
Peripheral nail bed pressure
Central sternal rub
Pain response for unconscious pt; what questions do you ask to confirm if they did or not?
Does pt localize? Does pt withdraw? Exhibit abnormal posture? NO response? how much stimuli does it take?
Arms going to the core
Decorticate posturing
Extensor posture; legs hyperextended; PF of feet
Decerebrate posturing
severe
Glascow Coma Scale; what are we assessing?
Eye opening
Verbal Response
Motor response
Sense of smell; sensory
Olfactory I
Visual activity
Optic II
How to test optic
how many fingers am i holding up?
Snellens chart
Assessing for PERRLA
Oculomotor III
Oculomotor III testing what?
PERRLA
downward inward mvmt
Dilated v. fixed pupils
Ptosis
Assessing downward & outward movement of eyes
Trochlear IV
Assess cardinal fields of gaze by asking patient to follow your fingers. (lateral rectus, unable to cross midline)
Abducens VI
Test sensation (ability for patient to feel touch, pain on either side of the face)
Trigeminal V
Ability to smile, close eyes, puff cheeks, raise eyebrows.
Facial Symmetry
Facial VII
Decreased hearing in one ear v the other
Acoustic VII
testing for vertigo; balance problems–not testing on everyone
Taste, swallowing ability, gag
IX Glossopharyngeal/X Vagus
Stick out tongue, move side to side
Hypoglossal XII
Shoulder shrug
Spinal Accessory XI
Airway patiency what nerves?
XI, X, XII
Cerebellar function
Ability to walk straight
What increased ICP?
Coughing
Gagging
HOB flat
Pain