Neurocritical, Balloon Pumps, And CT, XRAY

Question 1

How does central cord syndrome present?

Answer 1

With weakness in upper extremities greater than Lowe extremities

Question 2

Where is central cord syndrome?

Answer 2

Cervical spine

Question 3

How does anterior cord syndrome present?

Answer 3

Loss of motor function below injury site

Question 4

What is the posterior cord responsible for?

Answer 4

Touch, sense, and vibration

Question 5

What does brown-sequard syndrome present as?

Answer 5

Ipsilateral loss of pain and temperature. Same side of lesion will have loss of motor function

Question 6

Where is T4 located?

Answer 6

Nipple line

Question 7

Where is T10 located?

Answer 7

Umbilical line

Question 8

What is cranial nerve 1called and in charge of?

Answer 8

Olfactory. Smell.

Question 9

What is cranial never 2s name and function?

Answer 9

Optic. Vision

Question 10

What is cranial nerve 3s name and function?

Answer 10

Oculomotor. Papillary reaction and eye movement

Question 11

What is cranial nerve 4s name and function?

Answer 11

Trochlear. Eye movement

Question 12

What is cranial nerve 5s name and function?

Answer 12

Trigeminal. Mastication, facial/ mouth sensation

Question 13

What is cranial nerve 6s name and function?

Answer 13

Abducens. Lateral eye movement

Question 14

What is cranial nerve 7s name and function?

Answer 14

Facial. Motor function of the face. Taste. Salivation/lacrimation

Question 15

What is cranial nerve 8s name and function?

Answer 15

Vestibulocochlear (auditory). Balance and hearing

Question 16

What is cranial nerve 9s name and function?

Answer 16

Glossophyengeal. Taste/ sensation of tongue, carotid baroreceprors/ chemoreceptors

Question 17

What is cranial nerve 10s name and function?

Answer 17

Vagus. Cardiac inhibitions, swallowing, sensation of pharynx, vocal cords

Question 18

What is cranial nerve 11s name and function?

Answer 18

Spinal accessory nerve. Movement of shoulder and neck

Question 19

What is cranial nerve 12s name and function?

Answer 19

Hypoglossal. Movement of tongue

Question 20

How to calculate CPP?

Answer 20

Map- ICP

Question 21

How to calculate map?

Answer 21

Systolic + 2(diastolic) / 3

Question 22

What is normal CPP range?

Answer 22

60-80

Question 23

What is normal ICP range?

Answer 23

0-10

Question 24

What is the reversal for Coumadin and dosage?

Answer 24

Vitamin K at 10-20 mg IV slow infusion

Question 25

What is the reversal for Heparin and dosage?

Answer 25

Protamine sulfate 1mg per 100U of heparin

Question 26

When to use nicardipine?

Answer 26

Ischemic strokes- with a systolic below 185 and/or a diastolic under 110

Question 27

When to use nicardipine?

Answer 27

Ischemic stroke- with a SBP less that 185 and/or a DBP less than 110

Atraumatic cerebral hemorrhage- targeting a SBP of 140

Question 28

Nicardipine dosage?

Answer 28

Initial 5mg/hr and titration by 2.5mg/hr to effect

Question 29

Intubation of patient with herniation syndrome?

Answer 29

Fentanyl 3mcg/kg
Etomidate 0.3mg/kg
Rocuronium 1mg/kg

Question 30

Intubation of non hernation syndrome patient?

Answer 30

Ketamine 2mg/kg
Roc 1 mg/kg

Question 31

Strategies of lowering ICP?

Answer 31

Elevating head 30*, mannitol 0.25-1g/kg, hypertonic saline,