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concept 4 > neuro med surg > Flashcards

neuro med surg Flashcards

1
Q

most common kind of meningitis

A

viral/aseptic

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2
Q

how is viral meningitis treated

A

resolves by itself

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3
Q

is there a vaccine for viral meningitis

A

no

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4
Q

what is the most common meningitis in pts with aids

A

fungal

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5
Q

what is normal pupil size

A

2-6 mm

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6
Q

what 3 responses are u testing w glasgow coma scale

A

eye opening
verbal
motor

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7
Q

what is the tool for assessing pts response to stimuli

A

glasgow coma scale

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8
Q

what is the glasgow coma scale range

A

3-15

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9
Q

what does a glasgow coma scale result of 3 mean

A

severe neuro impairment

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10
Q

what does a glasgow coma scale result of less than 8 mean

A

unconcious pt

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11
Q

what does a glasgow coma scale result of 15 mean

A

fully alert and oriented

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12
Q

what would u score spontaneous eye opening on glasgow coma scale

A

4

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13
Q

what would u score eye opening to speech on glasgow coma scale

A

3

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14
Q

what would u score eye opening to pain on glasgow coma scale

A

2

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15
Q

what would u score no eye opening to stimulus on glasgow coma scale

A

1

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16
Q

eye opening response to stimuli on glasgow coma scale score range

A

1-4

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17
Q

verbal response to stimuli score range on glasgow coma scale

A

1-5

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18
Q

score for oriented verbal response to stimuli on glasgow coma scale

A

5

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19
Q

score for confused verbal response to stimuli on glasgow coma scale

A

4

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20
Q

score for inappropriate words repsonse to stimuli on glasgow coma scale

A

3

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21
Q

score for unclear sounds response to stimuli on glasgow coma scale

A

2

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22
Q

score for no verbal response to stimuli on gladgow coma scale

A

1

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23
Q

score range for motor response on glasgow coma scale

A

1-6

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24
Q

score for obeying command motor response to stimuli on glasgow coma scale

A

6

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25
Q

score for motor response to localized pain on glasgow coma scale

A

5

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26
Q

score for withdraw motor response to stimuli on glasgow coma scale

A

4

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27
Q

score for flexion motor response to stimuli on glasgow coma scale

A

3

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28
Q

score for extension motor response on glasgow coma scale

A

2

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29
Q

score for no motor response on glasgow coma scale

A

1

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30
Q

deep tendon reflex responses range

A

0-4

31
Q

what would u score no response on deep tendon reflex

A

0 (absent DTR)

32
Q

what would u score sluggish/diminished DTR

A

1+

33
Q

what would u score active/expected DTR

A

2+

34
Q

what is the normal DTR

A

2+

35
Q

what would u score brisk hyperactive DTR

A

3+

36
Q

what would u score brisk hyperactive DTR with intermittent or transient clonus

A

4+

37
Q

neuro causes of a seizure

A

-CNS infection
-brain tumor
-head injury
-drug/alcohol withdrawal

38
Q

resp causes of seizure

A

-ABG imbalance
-hypoxia

39
Q

endocrine causes of

A

-hypoglycemia

40
Q

cardio causes of seizures

A

-hypertension

41
Q

systemic causes of seizure

A

-fever

42
Q

causes of seizures

A

neuro:
-brain tumor
-alcohol/drug withdrawal
-head injury
-CNS infection
resp:
-hypoxia
-ABG imbalance
cardio:
-hypertension
endocrine:
-hypoglycemia
systemic:
-fever

43
Q

what is epilepsy

A

chronic seizures caused by a chronic condition

44
Q

what are the 4 stages of a seizure

A

-prodromal
-aura
-ictus
-post ictus

45
Q

a seizure that lasts over 5 mins without any conciousness is called

A

status epilepticus

46
Q

warning sign before a seizure is what stage

A

aura

47
Q

symptoms starting before an actual seizure is what stage

A

prodromal

48
Q

sudden jerking or stiffening of arms/legs is what kind of seizure

A

myoclonic

49
Q

grand mal seizures are also called

A

tonic-clonic seizures

50
Q

tonic phase of seizure is

A

stiffening of muscles

51
Q

clonic phase of seizure is

A

twitching/jerking muscles

52
Q

seizures that affect the entire brain are called

A

generalized seizures

53
Q

seizures that affect one area of the brain are called

A

partial/focal seizures

54
Q

what are the 4 types of generalized seizures

A

-tonic-clonic
-myoclonic
-absence
-atonic

55
Q

seizure where pt has blank stare is called

A

absence seizure

56
Q

sudden loss of muscle tone is what kind of seizure

A

atonic seizure

57
Q

sensory symptoms w motor symptoms where pt is still aware is what seizure

A

simple partial

58
Q

altered behavior/awareness and LOC is what kind of seizure

A

complex partial seizure

59
Q

stoke caused by a clot is called

A

ischemic stroke

60
Q

what causes a ischemic stroke

A

clots (no blood to brain)

61
Q

stroke caused by blood in brain

A

hemorrhagic stroke

62
Q

how to treat ischemic stroke

A

alteplase (tissue plasminogen activator) (gets rid of clot)

63
Q

what brain lobe is wernickes area

A

left temporal lobe

64
Q

what brain lobe is brocas area

A

frontal lobe

65
Q

which side of the brain controls the right side of the body

A

left side

66
Q

which side of the brain controls the left side of the body

A

right side

67
Q

if a pt has a stroke on the left side of the brain what side of the body will be affected

A

right side of body

68
Q

if pt has a stroke on right side of brain which side of body will be affected

A

left side of body

69
Q

each side of the brain controls what side of the body

A

the opposite side

70
Q

not being able to understand words means what kind of aphasia

A

receptive aphasia

71
Q

what area of brain is affected is pt has receptive aphasia

A

wernicke’s area

72
Q

aphasia where pt can understand speech but cant respond

A

expressive aphasia

73
Q

what part of the brain Is affected if pt has expressive aphasia

A

broca’s area

74
Q

how should affected arm of stroke pt be placed

A

over pillow in neutral positiion

concept 4 (12 decks)

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