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neurological part 1

nursing 165 mtc neurological

QuestionAnswer
What may be the first obvious sign of brain lesion? seizure
What is a common manifestation of neurologic disease? muscle weakness
What are the 5 part of neurological assessment? Glasgow Coma Scale (Motor system, Sensory system, reflexes) Cerebral Function, Cranial Nerves
Glasgow Coma Scale Eye opening includes Spontaneous = 4, To Sound = 3, To Pain = 2, Never = 1
GCS Motor response include Obeys Commands = 6, Localizes Pain = 5, Normal Flexion (withdrawal) = 4, Abnormal Flexion = 3, Extension = 2, None=1
GCS Verbral response include Oriented = 5, Conversation = confused = 4, Speech – inappropriate = 3, Sounds – incomprehensible = 2, No response = 1
What is FIRST indicator of neuro decline? Level of consciousness
Agnosia means inability to interpret or recognize objects seen through the special senses
Aphasia means language impairment including speaking, writing, reading, or comprehension
Cranial Nerves I. Olfactory: Sensory: Smell
Cranial Nerves II. Optic: Sensory: Vision
Cranial Nerves III. Oculomotor: Motor
Cranial Nerves IV. Trochlear: Motor: Eye Movement
Cranial Nerves V. Trigeminal: Both: Skin sensation
Cranial Nerves VI. Abducens: Motor: Eye Movement
Cranial Nerves VII. Facial: Both:
Cranial Nerves VIII. Acoustic/Vestibulocochlear : Sensory
Cranial Nerves IX. Glossopharyngeal: Both
Cranial Nerves X. Vagus: Both
Cranial Nerves XI. Accessory (Spinal): Motor
Cranial Nerves XII. Hypoglossal: Motor
Muscle Tone Spasticity Increased muscle tone
Muscle Tone Rigidity Resistance to passive stretch
Muscle Tone Flaccidity Lack of muscle tone (limp, floppy)
Ataxia is incoordination of voluntary muscle action
Cerebrospinal Fluid (CSF) is colorless
Cerebrospinal Fluid (CSF) that is blood tinged means? subarachnoid hemorrhage
cerebrospinal fluid normal pressure is 10 to 15 mm Hg
Glucose in cerebrospinal fluid is 50-75 mg/dL
Lumbar puncture complications are headache,  Brain herniation  Spinal epidural abscess  Spinal epidural hematoma  Meningitis  Temporary voiding problems  Slight elevation of temperature  Backache/Spasms  Neck stiffness
What can the patient do for LP complication of a headache bedrest, lay for 3 hours
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Created by: 597389573
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