Neurologic Emergencies Flashcards

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1
Q

What does the each hemisphere of the cerebrum control?

A

The opposite (contralateral) side of the body and same (ipsilateral) side of face

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2
Q

What is a cerebrovascular accident (CVA)?

A

Interruption of blood flow to the brain

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3
Q

What is a stroke?

A

Loss of brain function that results from a CVA

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4
Q

What is “the worst headache of my life” a sign of?

A

An aneurysm

Walls of arteries are weakened and rupture

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5
Q

What is a transient ischemic attack (TIA)?

A

When the normal processes of the brain destroy a blood clot and blood flow is restored to affected area. Stroke symptoms spontaneously go away within 24 hours

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6
Q

What is an absence seizure?

A

Characterized by having a blank stare and doesn’t respond to anyone briefly

Also called petit mal seizure

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7
Q

What is the tonic phase of a seizure?

A

Continuous muscle contraction

“Tenses up”

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8
Q

What is the clonic phase of a seizure?

A

Contractions and relaxations

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9
Q

What is status epilepticus? (2)

A

Seizures that are prolonged more than 10 mins

Two generalized seizures without a return of consciousness

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10
Q

What pertinent history should you gather with a patient having a seizure? (FACTS)

A
Focus (generalized/focal)
Activity (type of movement)
Color/cocaine
Time (length of seizure)
Secondary info (meds/events up to/incontinence/ tongue biting)
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11
Q

What three meds can me used to control epilepsy?

A

Dilantin (phenytoin)
Solfoton (phenobarbital)
Tegretol (carbamazepine)

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12
Q

What is hemiparesis?

A

Weakness in one side of the body

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13
Q

What will left hemisphere problems cause?

A

Aphasia (inability to speak)

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14
Q

What will right hemisphere problems cause?

A

Dysarthria (slurred speech)

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15
Q

What is receptive aphasia?

A

Can’t understand but can speak clearly

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16
Q

What is expressive aphasia?

A

Can understand questions but can’t speak clearly

17
Q

What is the eye opening scale for Glasgow coma scale?

A

4 spontaneous
3 response to speech
2 response to pain
1 none

18
Q

What is the verbal scale for Glasgow coma scale?

A
5 oriented conversation
4 confused conversation
3 inappropriate words
2 incomprehensible sounds
1 none
19
Q

What is the motor scale for Glasgow coma scale?

A
6 obeys command
5 localizes pain
4 withdraws from pain
3 abnormal flexion
2 abnormal extension
1 none