Week 9 Neurocognition I Flashcards
1
Q
Somatic Nervous System SNS
A
Controls skeletal muscle contraction
2
Q
Autonomic Nervous System ANS
A
- Provides automatic regulation
- Smooth & cardiac muscles
- Glands
- Adipose tissue
3
Q
Intracranial Pressure ICP
A
- Pressure within the cranial cavity
- Measured in mmHg
- Impacted by volume
4
Q
Cerebral Perfusion Pressure CPP
A
Pressure gradient drives oxygen to cerebral tissue
5
Q
Increased ICP
A
- Decrease in CPP
- Brain ischemia
- Drain damage
- Death
6
Q
Causes of Increased ICP
A
- Stroke
- Infection
- Trauma/aneurysms
- Hypertension
- Hypoxemia
- Tumours
- Hydrocephalus
- Seizures/epilepsy
7
Q
Increased ICP S/S
A
- Mental status changes
- Irregular breathing
- Nerve changes
- Posturing
- Weakness/decline in motor function
- Vomiting
- Headache
8
Q
Cushing’s Triad
A
- Late stage increased ICP
- Heart, lungs , BP
9
Q
Oculocephalic Reflex
A
Head rotates right, eyes move to left
10
Q
Babinski’s Reflex
A
Fanning of toes
11
Q
Decerebrate Posturing
A
- Elbow extension
- Forearm pronation
- Hand flexion
12
Q
Decorticate Posturing
A
Elbow & hand flexion
13
Q
Increased ICP Medical Interventions
A
- VP or LP shunts
- Change vent settings
- Craniectomy surgery
- Acetazolamide med
- Lumbar puncture no longer common
14
Q
Spinal Cord Injury
A
- Damage to spinal cord
- Impacts on strength, motor function, bowel/bladder, sensation, reflexes
- Temp or perm
15
Q
Spinal Cord Injury Progression
A
- Primary - initial traumatic event or insult
- Secondary - edema & hemorrhage that follow injury
- Prognosis most accurately assess 72+h post-trauma
