Neurology, Multisysytem Flashcards
What are normal ICP levels?
0-15mmHg
What is Cushing’s triad?
Widened pulse pressure
Bradycardia
Irregular respirations
Indicates increased ICP
HYPERBRADYBRADY
Think opposite of shock
How do you calculate CPP?
MAP-ICP=CPP
CPP and ICP goal?
CPP 60-70
ICP <20
What is Guillain Barre Syndrome?
Post infection inflammatory demyelination of peripheral nerve
What is myasthenia gravis?
Chronic autoimmune disease affecting the neuromuscular junction. Reduces the number of acetylcholine receptors (ACH-R)
What is multiple sclerosis?
Chronic progressive degenerative neuromuscular disorder with inflammation of the white matter of the CNS.
Raccoon’s Eyes and rhinorrhea indicates what kind of fracture?
Anterior skull fracture
Battle’s Sign and otorrhea indicates what kind of fracture?
Middle skull fracture.
*Preeclampsia classic clinical findings?
- Proteinuria
- elevated BP
Treatment is Mag for seizure prophylaxis when dBP >100mmHg
*After trauma, there may be a delayed injury. What may be a good intervention to do? If all VS are good.
Do another stat CBC, since there may be a delay drop of Hgb d/t a hidden injury
Wtf is postprandial hypotension and what causes it?
Drop of BP aftermeals. This is typically caused by large carb meals.
What may cause fixed pupils besides midbrain damage?
Hypothermia!
What does the 6 hour sepsis bundle care involve? (AACN)
Must reassess two of the following:
CVP, ScvO2, bedsides Cardiac U/S, passibe leg raise
What is ScvO2?
hemoglobin saturation of blood in the superior vena cava
