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NURS123 > NS > Flashcards

NS Flashcards

1
Q

The cerebrum divided into four lobes

A

Frontal, parietal

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2
Q

Cerebrum

A

many folds

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3
Q

Broca vs Wernikes

A

Broca damage = no words - unintelligible
Wernickes damage= word salad

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4
Q

Thalamus

A

Info relay center
All centers EXCEPT smell travel here before cerebrem

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5
Q

Hypothalamus

A

Regulate survival instincts, Hormones and ANS
Pit Gland

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6
Q

Pit gland

A

Regulate growth, metabolic and repro functions

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7
Q

Neurological symptoms

A

MS
one-sided weakness
Dizziness
Nausea
Vision problems

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8
Q

Main reason older people are admitted to hospital

A

Falls

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9
Q

Older adult NS deficit signs

A

Slow gait
tongue protrusion
senile tremors
slow reaction
impaired fine motor coordination

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10
Q

Objective data Neurological assessment

A

LOC
Cranial nerves
Motor nerves
reflexes
GCS
vital signs
Dysphagia
Aphasia

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11
Q

When would you do a screening vs complete neuro exam?

A

Depends on the patient and the scenario

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12
Q

When does a neuro recheck occur

A

If a patient is improving or not improving

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13
Q

TIA vs CVA

A

Transient Ischemic Attack
- A block in a blood vessel in the brain
- Very brief and temporary

Cerebral Vascular Accident

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14
Q

Hemorrhagic stroke

A

Worse
Blood vessel in brain bursts

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15
Q

First part of neuro assessment?

A

LOC
person, place, time

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16
Q

Romberg test

A

Standing on one foot with eyes closed (Cerebellum test)

17
Q

3 aspects for evaluated LOC

A

Eye-opening, verbal response, motor response

18
Q

GCS

A

Glasgow Coma scale

19
Q

decorticate

A

Destrut=toin or lesion of cotrical spinal tract

adduction towards the torso

20
Q

Decerebrate

A

Abnormal flexion

21
Q

ICP

A

Increased Intracranial Pressure

Changes in LOC
Headache, seizures, vomiting
Changes in speech
Decreased motor function
Posturing

22
Q

cranial Herniation

A

The brain is pushed downwards by increased ICP and affects the brainstem

23
Q

Absent seizure

A

Sudden onset of stopping, back to normal quickly

24
Q

what is Ox3

A

Oriented x3

Ask abt
Person, place, and time

Score out of 5

5 - Oriented x3
4 - Confused
3 - Inappropriate speech
2 - Incomprehensible sounds
1 - No response

25
Q

Motor response grading

A

out of 6

6 - Patient does as requested
5 - Patient has a localized response to painful stimuli: Purposeful movement is localizing - the patient knows where the painful stimuli is and pulls away
4 - Patient has a withdrawal, or flexion response to painful stimuli: If the patient continues to pull away even after the painful stimulus is removed, that is withdrawal, a weaker, more generalized withdrawal from pain
3 - Patient has an abnormal flexion response to painful stimuli: (decorticate), indicates a destructive lesion of cortical spinal tract within cerebral hemispheres, above midbrain
2 - Patient has an abnormal extension response to painful stimuli: (decerebrate), indicates a lesion of the midbrain, pons, diencephalon (above midbrain: hypothalamus, thalamus) or severe metabolic disorders (hypoxia, hypoglycemia)
1 – No response

26
Q

Decorticate

A

Lesion above the midbrain

27
Q

Lesion in the midbrai

A

decerebrate, very serious, impairs respiratory drive

28
Q

Is decorticate or decerebrate more serious?

A

Decerebrate more ominous than decorticate; indicates lesion/trauma to the brain stem.

29
Q

What can brain herniation be in response to

A

increased ICP

30
Q

When does a seizure become a medical emergency

A

lasting for 5 min or longer, has sustained an injury during the seizure, or does not have a known seizure disorder

31
Q

Classification of seizures

A

Focal onset, generalized onset, and unknown onset

32
Q

Types of aphasia

A

Expressive: Broca’s - Formulation and expression of thoughts impaired

Receptive: Wernicke’s - ability to comprehend written or verbal language is impaired, speech is clear but words do not express clear sentence

Global aphasia
all language functions are impaired

33
Q
A

NURS123 (13 decks)

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