week 5

Question 1

GCS scoring of eye opening

Answer 1

4 = spontaneously
3 = to voice
2 = to sound
1 = never

Question 2

lowest GCS score possible

Answer 2

3
none in each category (eye opening, motor, and verbal)

Question 3

intubate with what GCS score

Answer 3

less than 8 you intubate

Question 4

decorticate posturing score

Answer 4

3 in motor response

*abnormal flexion

Question 5

decerebrate posturing score

Answer 5

2 in motor response
*extension

Question 6

GCS motor response scoring

Answer 6

6 = obeys commands
5 = localizes pain
4 = normal flexion / withdrawl
3 = decorticate posturing / abnormal flexion
2 = decerebrate posturing / extension
1 = none

Question 7

GCS verbal response scoring

Answer 7

5 = oriented
4 = confused
3 = just words
2 = sounds, moaning, & groaning
1 = none

Question 8

patient who is intubated will score what in the verbal response category

Answer 8

1 = none

Question 9

asking patient to bite down assesses which cranial nerve

Answer 9

5 - sensation of the face & chewing

Question 10

eye movement assesses which cranial nerves

Answer 10

3, 4, & 6

3 = pupillary constriction & eye movement side to side

Question 11

swallowing and taste assesses which cranial nerve

Answer 11

9 and 10

*gag reflex

Question 12

chewing, swallowing, diet, and aspiration involves which cranial nerves

Answer 12

9, 10, & 12

Question 13

cranial nerve that tests sensory

Answer 13

5

Question 14

cranial nerve for symmetry

Answer 14

7

Question 15

normal ICP range

Answer 15

5 to 15 mmhg

Question 16

cranial nerve for increased ICP

Answer 16

11 - shrugging of shoulders and symmetry of strength

Question 17

when to worry about ICP

Answer 17

if greater than 20mmHG for longer than 20 min

Question 18

what increases ICP

Answer 18

turning, suctioning, and oral care

Question 19

what is cerebral blood flow

Answer 19

amt of blood in ml traveling through brain tissue in one minute

Question 20

how to calculate cerebral perfusion pressure

Answer 20

MAP (70 to 150) - ICP (5 to 15)

Question 21

cerebral perfusion pressure range

Answer 21

60 to 100 mmHg

Question 22

MAP range

Answer 22

70 to 150 mmHg

Question 23

Cushings Triad

Answer 23

1. bradycardia
2. irregular respirations
3. widened pulse pressures (increased systolic)

Question 24

interventions for increased ICP

Answer 24

neutral head postion
HOB @ 30 degrees
CPP between 60 to 100
ICP between 5 to 15
MAP between 70 to 150

Question 25

decorticate posturing

Answer 25

3 in motor response of GCS

turned to the CORE
flexion of arms an legs

Question 26

decerebrate posture

Answer 26

EEEEEEEExtension
#2 in motor response of GCS

Question 27

prior to cerebral angiography

Answer 27

assess BUN & CREATININE
void before
npo 4 to 6 hrs