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CCRN 2
Neuro
| Question | Answer |
|---|---|
| CVA has two categories, what are they | Ischemic event, and a hemorrhagic event |
| Ischemic and hemorrhagic events have 3 possible subcategories - what are they | TIA - transient ischemic attach RIND - reversable ischemic neurological deficit (long TIA) CI - cerebral infarct |
| RIND is the same as a TIA except for what | takes about 3 more months to get better |
| With any CVA what is the end-goal | decrease cerebral edema |
| Problem with the cortex you are ______ | decordicate |
| Problem with the brain stem or cerebrum you ______ | decerebrate |
| Pyramidal tracts do what | make you move |
| if you have babinski reflex on the left side, where is the injury | right side |
| if you have a babinkski reflex on the right side, where is the injury | left side |
| sympathetic system makes your pupil ______ | dilate |
| parasympathetic system makes your pupil _______ | pinpoint / constrict |
| Which nerve controls your pupil | 3rd |
| lateral shift of your brain in your head from blood is called a | uncal herniation |
| Uncal herniation on the right side will cause a ______ pupil on the ______ side | ipsilateral dilated, right |
| True/False: Manitol can be used for a uncal herniation | false: don't use it - makes more room for the herniation to expand |
| When the brain is coming down the tentorial notch you get what kind of herniation | supratentorial |
| What happens to LOC in a supratentorial herniation | change |
| What happens to the pupils in a supratentorial herniation | dilation |
| What happens to respirations in a supratentorial herniation | hyperventilation |
| Why does the body respond with increased respirations with a supra tentorial herniation | The body is attempting to compensate for increased ICP by blowing off CO2 (reduced CO2 reduces ICP) |
| Last thing you get when you have a supratentorial herniation | cushings triad |
| cushings triad | Increased BP, widening pulse pressure, decreased HR and RR |
| The foremost treatment for a person with cushings triad is what | manitol - and only if its readily available |
| Intracranial pressure can be raised by what | acidosis, hypotonic solutions, hyperextension, flexion, decreased protein intake, wrist restraints |
| Cerebral perfusion pressure values | 70-95 mmHg |
| Cerebral perfusion pressure formula | MAP - ICP = CPP |
| would you rather be stuporous or obtunded | obtunded |