Neuro CCRN- Critical Care Registered Nurse Study
Questions 2024/2025 Fully Solved 100%
Which three systems do not require insulin for glucose transport? - ANSWERbrain,
spinal cord, hemopoetic system
Which two substances are required for brain metabolism? - ANSWERoxygen, glucose
Why is tight glucose control required for neuro patients? - ANSWERwithout proper
glucose for metabolism, potential for creation of glutamate and lactic acid
https://o.quizlet.com/HPHrOQL0QidgILyrAO.pOA_m.jpg
What is CPP? - ANSWERpressure required for heart to pump blood up carotids to
circle of willis and out to arterioles https://o.quizlet.com/q9qjzKvaxVYJ-
Hn.zRRwqQ_m.jpg
What is normal CPP? - ANSWER60-100 mmHg
What is normal MAP? - ANSWER70-105 mmHg
What is normal ICP? - ANSWER5-15 mmHg
What should goal BP be for stroke patients? - ANSWER180/100
** for this test, neuro patients should always be goal 180/100 - ANSWER
What are key interventions for managing the neuro patient (primary)? - ANSWER-
HOB elevated, head neutral position
- airway and breathing: target PaO2 > 80 mmHg and PaCO2 35-40 mmHg; decrease
- avoid central lines in neck (disturbs flow of blood) - ANSWER
- electrolyte control - ANSWER
- sedation / analgesia as indicated for control of ICP -
ANSWERhttps://o.quizlet.com/3oDhX-wfcnIrJ1ax.aXrsA_m.jpg
What are key interventions for managing the neuro patient (secondary)? - ANSWER-
mannitol (0.25-1 g/kg); replace fluids to maintain euvolemia
- hypertonic saline, over 20 minutes (3% 200mL or 5% 150mL or 7% 100mL or 23.5%
15-20mL) - ANSWER
What are key interventions for managing the neuro patient (tertiary)? - ANSWER-
decompressive hemicraniotomy (large bone removal, early)
, What kills stroke patients? - ANSWERaspiration pneumonia >> which cranial nerves
impact swallowing? X, XI, XII
Which cranial nerves impact swallowing? Pupillary function? - ANSWERswallowing:
X, XI, XII
pupils: III - ANSWER
Acute stroke interventions / diagnostics - ANSWER- ABCs
- BP Mgt: - ANSWER
::ONLY beta blockers (labetolol), CCBs (nicardipine) - ANSWER
:: no tPA SBP > 220, DBP > 120, MAP > 130 - ANSWER
:: tPA SBP > 185, DBP > 110 - ANSWER
- neuro exam q15 minutes x 4 until treatment decision made - ANSWER
- IV and labs - ANSWER
- CT scan within 25 minutes - ANSWER
- 12-lead EKG - ANSWER
- BG check (> hypoglycemia, < 180) - ANSWER
tPA window was < 3 hours, now 4.5 hours (not FDA approved) - ANSWER
tPA indications - ANSWERdoor to needle < 60 minutes
symptoms < 4.5 hrs from symptom onset - ANSWER
- CT excludes hemorrhage - ANSWER
- quantifiable deficit - ANSWER
- isolated aphasia - ANSWER
- age > 18 - ANSWER
exclusions 3-4.5 hrs: - ANSWER
- age >80 years - ANSWER
Questions 2024/2025 Fully Solved 100%
Which three systems do not require insulin for glucose transport? - ANSWERbrain,
spinal cord, hemopoetic system
Which two substances are required for brain metabolism? - ANSWERoxygen, glucose
Why is tight glucose control required for neuro patients? - ANSWERwithout proper
glucose for metabolism, potential for creation of glutamate and lactic acid
https://o.quizlet.com/HPHrOQL0QidgILyrAO.pOA_m.jpg
What is CPP? - ANSWERpressure required for heart to pump blood up carotids to
circle of willis and out to arterioles https://o.quizlet.com/q9qjzKvaxVYJ-
Hn.zRRwqQ_m.jpg
What is normal CPP? - ANSWER60-100 mmHg
What is normal MAP? - ANSWER70-105 mmHg
What is normal ICP? - ANSWER5-15 mmHg
What should goal BP be for stroke patients? - ANSWER180/100
** for this test, neuro patients should always be goal 180/100 - ANSWER
What are key interventions for managing the neuro patient (primary)? - ANSWER-
HOB elevated, head neutral position
- airway and breathing: target PaO2 > 80 mmHg and PaCO2 35-40 mmHg; decrease
- avoid central lines in neck (disturbs flow of blood) - ANSWER
- electrolyte control - ANSWER
- sedation / analgesia as indicated for control of ICP -
ANSWERhttps://o.quizlet.com/3oDhX-wfcnIrJ1ax.aXrsA_m.jpg
What are key interventions for managing the neuro patient (secondary)? - ANSWER-
mannitol (0.25-1 g/kg); replace fluids to maintain euvolemia
- hypertonic saline, over 20 minutes (3% 200mL or 5% 150mL or 7% 100mL or 23.5%
15-20mL) - ANSWER
What are key interventions for managing the neuro patient (tertiary)? - ANSWER-
decompressive hemicraniotomy (large bone removal, early)
, What kills stroke patients? - ANSWERaspiration pneumonia >> which cranial nerves
impact swallowing? X, XI, XII
Which cranial nerves impact swallowing? Pupillary function? - ANSWERswallowing:
X, XI, XII
pupils: III - ANSWER
Acute stroke interventions / diagnostics - ANSWER- ABCs
- BP Mgt: - ANSWER
::ONLY beta blockers (labetolol), CCBs (nicardipine) - ANSWER
:: no tPA SBP > 220, DBP > 120, MAP > 130 - ANSWER
:: tPA SBP > 185, DBP > 110 - ANSWER
- neuro exam q15 minutes x 4 until treatment decision made - ANSWER
- IV and labs - ANSWER
- CT scan within 25 minutes - ANSWER
- 12-lead EKG - ANSWER
- BG check (> hypoglycemia, < 180) - ANSWER
tPA window was < 3 hours, now 4.5 hours (not FDA approved) - ANSWER
tPA indications - ANSWERdoor to needle < 60 minutes
symptoms < 4.5 hrs from symptom onset - ANSWER
- CT excludes hemorrhage - ANSWER
- quantifiable deficit - ANSWER
- isolated aphasia - ANSWER
- age > 18 - ANSWER
exclusions 3-4.5 hrs: - ANSWER
- age >80 years - ANSWER
