Med Surg 3 Neuro complete A+ graded
functions of nervous system - answers controls all motor sensory, autonomic, cognitive,
behavioral activities
parasympathetic nervous system - answers rest and digest : constricts the pupils
altered LOC - answers most important indicator of pt condition
cont from full alertness and full cognition to coma
coma - answers unresponsive, unarousable, unresponsiveness
assess of altered LOC - answers assess verbal response and orientation, alertness,
motor response, respiratory status, eye signs, reflexes, postures, GCS, CN
eye movement CN - answers 3, 4, 6
CN 5 - answers trigeminal (face sensation)
CN 7 ` - answers facial, salivation
CN 8 - answers Vestibulocochlear : hearing, balance
CN 9 Glossopharyngeal - answers swallowing and gag reflex
glasgow coma scale - answers motor: 6, verbal:5, eye opening: 4
coma: 8 or less
Decordicate posturing - answers arms flexed and legs internally rotated
Decerbrate - answers arms pronated
Cerebral angiography (CT w contrast) - answers ident aneuy, vascular malformations,
narrowed vessels
cerebral angiography prep - answers lie flat, dye into femoral arterty
(BUN/creat, hydration)
, post cerebral angiography - answers neuro assessment q 15-30 until vitals stable and
site q 1 hour
neurovascular assess
keep flat 12-24 h,
lumbar puncture - answers at L3-L4 into subarachnoid space
lateral recumbent fetal position
Transcranial doppler - answers cerebral blood flow
can assess vasospasm, oculsive vessel syn, brain death
post lumbar puncture - answers neuro checks q 15-30 mins
flat for several hours
PO fluids to 3000 ml
oral pain meds for HA
dressing for bleeding or drainage
assess for HA when sitting upright after (CSF lesk)
complications of lumbar puncture - answers brainstem herniation
what test to do before lumbar puncture - answers CT scan to see if space occuying
lescion present
EEG test - answers records elect activity of the brain
done by tech in quiet room
hold tranq / stimulants (inc coffee)
keep awake the night before test
WASH HAIR AFTER
CT scan - answers detects hemmorhage, infraction, abcess, tumor
immobile during exam, flushing / warm during dye
Myelogram test - answers visualizes spinal cord and subarach space
NPO 4-6 hours before
allergy hx(iodine / shellfish)
if CSF leak = blood patch
CNS depres held 48 hours before
table moved to various positions and lie on back
post myelogram - answers neuro assessment q 2-4 hours
elevate HOB 30-45 degrees for 3 hours
oral analestic for HA
enourage fluids
assess distended bladder
inspect site
functions of nervous system - answers controls all motor sensory, autonomic, cognitive,
behavioral activities
parasympathetic nervous system - answers rest and digest : constricts the pupils
altered LOC - answers most important indicator of pt condition
cont from full alertness and full cognition to coma
coma - answers unresponsive, unarousable, unresponsiveness
assess of altered LOC - answers assess verbal response and orientation, alertness,
motor response, respiratory status, eye signs, reflexes, postures, GCS, CN
eye movement CN - answers 3, 4, 6
CN 5 - answers trigeminal (face sensation)
CN 7 ` - answers facial, salivation
CN 8 - answers Vestibulocochlear : hearing, balance
CN 9 Glossopharyngeal - answers swallowing and gag reflex
glasgow coma scale - answers motor: 6, verbal:5, eye opening: 4
coma: 8 or less
Decordicate posturing - answers arms flexed and legs internally rotated
Decerbrate - answers arms pronated
Cerebral angiography (CT w contrast) - answers ident aneuy, vascular malformations,
narrowed vessels
cerebral angiography prep - answers lie flat, dye into femoral arterty
(BUN/creat, hydration)
, post cerebral angiography - answers neuro assessment q 15-30 until vitals stable and
site q 1 hour
neurovascular assess
keep flat 12-24 h,
lumbar puncture - answers at L3-L4 into subarachnoid space
lateral recumbent fetal position
Transcranial doppler - answers cerebral blood flow
can assess vasospasm, oculsive vessel syn, brain death
post lumbar puncture - answers neuro checks q 15-30 mins
flat for several hours
PO fluids to 3000 ml
oral pain meds for HA
dressing for bleeding or drainage
assess for HA when sitting upright after (CSF lesk)
complications of lumbar puncture - answers brainstem herniation
what test to do before lumbar puncture - answers CT scan to see if space occuying
lescion present
EEG test - answers records elect activity of the brain
done by tech in quiet room
hold tranq / stimulants (inc coffee)
keep awake the night before test
WASH HAIR AFTER
CT scan - answers detects hemmorhage, infraction, abcess, tumor
immobile during exam, flushing / warm during dye
Myelogram test - answers visualizes spinal cord and subarach space
NPO 4-6 hours before
allergy hx(iodine / shellfish)
if CSF leak = blood patch
CNS depres held 48 hours before
table moved to various positions and lie on back
post myelogram - answers neuro assessment q 2-4 hours
elevate HOB 30-45 degrees for 3 hours
oral analestic for HA
enourage fluids
assess distended bladder
inspect site
