Neuro-Sensory

Question 1

Comatose

Answer 1

Completely unconscious
No meaningful response to stimuli
Light coma-no purposeful movement, some reflex activity
DEEP COMA-No motor response

Question 2

Coordination

Answer 2

Rapid alternating movements-touch thumb 👍🏾 to each finger on the same hand quickly.

Question 3

CT scan

Answer 3

Uses x-rays to produce 3-D images of organs, bones and tissues.
Aids in determining what part of brain 🧠 is affected
Quickly detects hemorrhage, bone or VASCULAR ABNORMALITIES, tumors, cysts.

With or without contrast

Nurse care for CT:
 Informed consent
MUST ASSESS FOR IODINE ALLERGIES 
Check ✔ diet
Determine if patient is claustrophobic 
If contrast administered force fluids, monitor for allergic reactions and kidney function IV contrast is nephrotoxic. 
Education about procedure

Question 4

EEG Electoencephalography

Answer 4

Monitors brain 🧠 electrical activity
Helps diagnose seizures, metabolic disorders, inflammation and infection
Used to help evaluate sleep disorders
May be used to confirm brain 🧠 death
Series of electrodes attached to skull using special conducting paste
May complete while sleep, awake or stimulated

Nursing care:
Education
Check with HCP has ordered to stop sedatives, sleeping aids and tranquilizers.
Avoid caffeine for 8 hours
No oils, creams, conditioner in hair for electrode placement
Provide support
Know patient (medications, what to hold, keep PT safe)

Question 5

Glasgow scale
Eye opening= Spontaneously-4; Speech-3; To pain-2, No eye opening-1
Verbal= Oriented ×3-5; Confused-4; Inappropriate words-3 Incomprehensible sounds-2, No response-1
Motor response= Obeys commands-6; Moves to localized pain-5; Flexion withdraw from pain-4: Abnormal flexion (decorticate)-3; Abnormal extension (decerbrate)-2; No response-1

Answer 5

Defines LOC giving numeric scale.
Eye opening, motor skills, verbally skills

Possible score 3-15
15 Normal
3- Totally unresponsive 
<7-9 Comatose
Every brain 🧠 is different but generally classified as 
Severe GCS 8 or less
Moderate 9-12
Mild GCS 13-15

Question 6

Hypoglycemia

Answer 6

Low Blood Glucose

<60

Question 7

Hypotension

Answer 7

Low Blood pressure

Question 8

Hypoventiliation

Answer 8

Decreased respiratory rate poor oxygenation increase in cO2 productivity. Causing Hypercarbia.

Question 9

Hypoxia

Answer 9

Decrease inadequate tissue oxygenation

Question 10

Lethargic

Answer 10

Not fully alert 
Drifts off to sleep when stimulated
Appears Drowsy
Awakens to name
Responds APPROPRIATELY to questions 
Slows to respond 

Ex: Pt just received pain meds
When you wake someone in the middle of the night 🌙

Question 11

LOC

Answer 11

Orientation and alertness of patient.

Question 12

Lumbar puncture

Answer 12

Add definition

Question 13

MRI

Answer 13

Uses computer generated radio waves & powerful magnetic field to produce detailed images.
Computer creates 3-D image from 2-D slice
Able to see Brain 🧠, spinal cord, measure Blood flow

Used to DX: Stroke, tumors, infection, injury and epilepsy
No exposure to RADIATION
CONTRAST-GADILINIUM
Nursing Care- Consent
Education
Screen for metal/Pacemaker, telemetry, jewelry, dental work.
No medicated patches-Fentayl Nicotine
Body art and permanent cosmetic 💄 many cause burns
Loud noises-mkst places provide headphones 🎧
Screen for claustrophobia
It can take up to 90 MINS.TO COMPLETE

Question 14

Obtunded

Answer 14

Add definition

Question 15

Proprioception

Answer 15

Recognizing where your your limbs are in space

Question 16

Sensation

Answer 16

Add

Question 17

CVA or Stroke

Answer 17

Add

Question 18

Stupor

Answer 18

Add

Question 19

X-ray

Answer 19

Add