Neuro - Adult Exam 3 – Questions And Answers

Which spinal injuries are going to result in ventilator dependency? Correct Ans:- C1-C3 Which spinal injuries are going to result in (maybe) ventilator dependency? Correct Ans:- C4-C5 Which spinal injuries do not usually affect diaphragm ability to breathe Correct Ans:- C5 and below Ability to breathe without the assistance on a ventilator depends on the use or which nerve? Correct Ans:- phrenic nerve which score on the GCS points towards likely intubation? Correct Ans:- less than 8 which three categories of neuro function are assessed with GCS Correct Ans:- verbal, motor, eyes what is the GCS used for Correct Ans:- quantifying level of consciousness after a brain injury what questions do you ask to assess verbal response Correct Ans:- what's your name, what year is it, where are you, who is the VP what questions do you use to assess motor skill Correct Ans:- give thumbs up, blink what score under verbal to intubated patients get? Correct Ans:- 1 how to do elicit pain to assess for GCS Correct Ans:- nail bed pressure, trapezius pinch, do not do sternal rub which is worse, decoricate or decerebrate? Correct Ans:- Decerebrate which one is flexion and which one is extension? decerebrate vs decoricate Correct Ans:- decoricate - flexion "flexing to the core" decerebrate - extension "celebrating" how many changes in points should you report to the provider? Correct Ans:- 2 points or more need to be reported to provider What do you do every hour for vital signs? Correct Ans:- GCS focal motor pupil compliance oculocephalic reflex Correct Ans:- "doll's eyes" if the patient's eyes follow in the same direction of the turned head, is the patient brain dead or alive? oculocephalic reflex Correct Ans:- brain dead if the patient's eyes turn in the opposite direction of the turned head, is the patient brain dead or alive? oculocephalic reflex Correct Ans:- brain is alive when should you perform a cold caloric test ? Correct Ans:- on a patient with a spinal injury to assess for brain death if you put cold water in the ear, what is the expected finding in a brain alive patient Correct Ans:- eye turns towards cold water, then nystagmuses to opposite side how much CSF is created daily Correct Ans:- 500 ml what is defined mm Hg ICP Correct Ans:- greater than 15, clinical is greater than 20 if the patient is unable to absorb excess CSF, what happens Correct Ans:- hydrocephalus how many ml of CSF can you drain in one hour Correct Ans:- 30 ml/hour components of ICP Correct Ans:- Brain - 80 CSF - 10 Blood - 10 monro-kellie doctrine Correct Ans:- if increase in any component, requires decrease in another increase in brain matter, decrease in csf equation for CPP Correct Ans:- CPP= MAP- ICP how to calculate MAP Correct Ans:- (2DBP + SBP)/3 normal CPP Correct Ans:- 60- 100 mm hg aim for 70 how to regulate CPP Correct Ans:- increase MAP decrease ICP how to increase MAP Correct Ans:- vasopressors