Neurological assessment (done) Flashcards

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1
Q

what is meningitis

A

infection in the protective membrane of the brain and spinal cord

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2
Q

give some clincial features if meningitis

A
fever
cold, mottled skin 
raised RR and effort 
reduced SPO2 
tachycardia 
pain in joints, muscles and limbs 
rash- bruise or blood blisters 
headache 
vomiting, abdo pain and diarrhoea 
drowsiness and confusion 
rigors 
seizures 
photophobia 
neck stiffness
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3
Q

what is a hemorrhagic stroke

A

weakened blood vessels rupture and blood leaks into the brain tissue

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4
Q

what is an iscemic stroke

A

a blockage

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5
Q

what are the symptoms of the postictal state

A

drowsiness, confusion, nausea, hypertension, headache and disorientating symptom

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6
Q

how long can the postictal state last

A

5 to 30 minutes

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7
Q

what is the postictcal stage

A

altered state or consciousness after an epileptic seizure

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8
Q

what are the indications of midazolam

A

convulsion lasting more than 5 minutes or more and still convulsion or 3 or more in an hour

always see if patient has their own in treatment plan

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9
Q

what are the indications of diazepam

A

prolonged or repeated seizure who are currently convulsing

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10
Q

what is diazepan

A

acts as a CNS depressent

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11
Q

what can you consider giving to individuals who are having a tonic clonic seizure

A

midazolam

diazepan

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12
Q

when should you consider status epilepticus

A

single seizure lasting more than 5 minutes
or repeated convulsions (three or more in a hour)
without recovery between convulsions

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13
Q

what do we need to ask in convulsions

A
estimate time and length, how many, what's the gap between them 
does the patient have a diagnosis
is this an isolated seizure 
has any medication been taken 
any symptoms before the seizure 
past medical history 
alcohol intake 
potential provoking factors
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14
Q

what score in the mental test score would be classed as confused

A

score less than 7 confused

score less than 3 very confused

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15
Q

what is the questions asked in the mental test score

A
what is your age
what is the rough time 
what is the year
where are we right now 
who are these people 
what is your date of birth 
what year did world war 2 end 
what the name of the prime minister 
can you count back from 20 to 1 
can you remember this address
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16
Q

what is an abbreviated mental test score

A

10 point score to rapidly assess cognitive impairment

often used in dementia patients

17
Q

what does FAST stand for

A

Facial weakness
Arm weakness
Speech
Time

18
Q

what are the 3 parts to the Glasgow comma scale

A

eye response
verbal response
motor response