Neurocritical, Balloon Pumps, And CT, XRAY Flashcards
How does central cord syndrome present?
With weakness in upper extremities greater than Lowe extremities
Where is central cord syndrome?
Cervical spine
How does anterior cord syndrome present?
Loss of motor function below injury site
What is the posterior cord responsible for?
Touch, sense, and vibration
What does brown-sequard syndrome present as?
Ipsilateral loss of pain and temperature. Same side of lesion will have loss of motor function
Where is T4 located?
Nipple line
Where is T10 located?
Umbilical line
What is cranial nerve 1called and in charge of?
Olfactory. Smell.
What is cranial never 2s name and function?
Optic. Vision
What is cranial nerve 3s name and function?
Oculomotor. Papillary reaction and eye movement
What is cranial nerve 4s name and function?
Trochlear. Eye movement
What is cranial nerve 5s name and function?
Trigeminal. Mastication, facial/ mouth sensation
What is cranial nerve 6s name and function?
Abducens. Lateral eye movement
What is cranial nerve 7s name and function?
Facial. Motor function of the face. Taste. Salivation/lacrimation
What is cranial nerve 8s name and function?
Vestibulocochlear (auditory). Balance and hearing
What is cranial nerve 9s name and function?
Glossophyengeal. Taste/ sensation of tongue, carotid baroreceprors/ chemoreceptors
What is cranial nerve 10s name and function?
Vagus. Cardiac inhibitions, swallowing, sensation of pharynx, vocal cords
What is cranial nerve 11s name and function?
Spinal accessory nerve. Movement of shoulder and neck
What is cranial nerve 12s name and function?
Hypoglossal. Movement of tongue
How to calculate CPP?
Map- ICP
How to calculate map?
Systolic + 2(diastolic) / 3
What is normal CPP range?
60-80
What is normal ICP range?
0-10
What is the reversal for Coumadin and dosage?
Vitamin K at 10-20 mg IV slow infusion
What is the reversal for Heparin and dosage?
Protamine sulfate 1mg per 100U of heparin
When to use nicardipine?
Ischemic strokes- with a systolic below 185 and/or a diastolic under 110
When to use nicardipine?
Ischemic stroke- with a SBP less that 185 and/or a DBP less than 110
Atraumatic cerebral hemorrhage- targeting a SBP of 140
Nicardipine dosage?
Initial 5mg/hr and titration by 2.5mg/hr to effect
Intubation of patient with herniation syndrome?
Fentanyl 3mcg/kg
Etomidate 0.3mg/kg
Rocuronium 1mg/kg
Intubation of non hernation syndrome patient?
Ketamine 2mg/kg
Roc 1 mg/kg
Strategies of lowering ICP?
Elevating head 30*, mannitol 0.25-1g/kg, hypertonic saline,
