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LCC Med Surg
jdannels LCC neuro test
| Question | Answer |
|---|---|
| Two main divisions of the nervous system | CNS and PNS |
| somatic nervous system | voluntary |
| autonomic nervous system | involuntary |
| nerons | carry messages to brain and spinal cord |
| neuroglial or glial cells | produce CSF |
| neuron cell body | nucleous |
| axon | conducts impulse away from cell |
| dendrites | recieve impulse |
| synapse | gap between each neuron |
| neuromuscular junction | contact between mylelinated nerve fibers and skeletal muscle |
| neurotransmitter | transmission |
| acetocholine | cholinesterase deactivates |
| norepinepherine | wake cycle |
| dopamine | motor function |
| serotonin | sleep and role in mood |
| what is myelin | protects and insulates |
| Schwann cells | produce myelin |
| neurilemma | regenerates axons |
| Cerebrum | largest part. controls movement on the opposite sode. gray matter is cerebral cortex. |
| frontal lobe | judgment, motor, speech |
| parietal lobe | touch, pain, temp |
| temporal lobe | memory, auditory stimuli |
| occipital lobe | visual impulses |
| Diencephalon | inner brain contains thalmus and hypothalmus |
| thalmus | sensory |
| hypothalmus | hormones and vital functions |
| cerebellum | second largest part of brain |
| brain stem | connects spinal cord and cerebrum |
| midbrain | movement and reflexes |
| pons | resp. cnt to assist medulla |
| medulla | controls HR, breathing, swallowing |
| meninges | dura mater, arachnoids, pia mater |
| ventricles | 4 spaces in the brain |
| spinal cord goes | brain stem to second lumbar |
| spinal nerves how many | 31 |
| how many pairs cranial nerves | 12 |
| sympathetic nervous system | accelerates |
| parasympathetic nervous system | slows |
| assessment of neurological disorders | prevention, Hx, MS, LOC, Arousal, Glasow Coma Scale, language and speech, motor reflexes, sensory and perceptual staus, hemianopia, unilateral neglect |
| what are the Lab tests to detect neuro disorders | blood and urine, CSF, Brain scan, MRI, MRA, PET, Lumbar puncture. EEG, Myelogram, angiogram, carotid duplex, digital subtraction, electromyelogram, echoencephalogram |
| HA etiology | tumors and other causes |
| types of HA | vascular, tension, stress |
| signs of migraine | visual changes, disorientation, sensitive to light |
| Dx of HA | CT, MRI, PET, brain scan, lumbar puncture |
| TX HA | avoid foods such as choc. psychotherapy, ASA, meds to constrict vessels, caffeine, phenobarbital, belladonna, apap, inderal, imitrex, darvocet, codeine |
| nursing care for HA | cold packs, dark room, avoid triggers |
| Etiology of Neuro pain | lesions in nerves. pain receptors are not adaptable. specific for pain only. activated by chemicals, heat, ischemia. |
| assessment of neuro pain | factors, description, quality of pain |
| Dx of neuro pain | electrical stimulation |
| Tx of neuro pain | TENS, nerve block, acupuncture, epidural catheter |
| meds for neuro pain | nonopioid and opioids, neurontin |
| sugery for neuro pain | cordotomy |
| nursing care for neuro pain | position for comfort, avoid straining, counseling, ROM |
| ICP Etiology | lesion, cerebral edema |
| what can lead to herniation of ICP | PCO2 increases and PO2 and pH decreases which leads to vasodialation, edema and increased pressure |
| signs of ICP | diplopia, nausea, pain, LOC decreased, dialated pupil, wide pulse pressure, bradycardia, resp. distress, hyperthermia, hyperreflexia. |
| Dx of ICP | CT, or MRI, internal measuring with ventricular cath/subarachnoid bolt, epidural sensor |
| Tx of ICP | decompression, manital, lasix, bumex, steroids, anticonvolsants, versed |
| nursing care for ICP | elevate HOB, neutral postion, restrict fluids, avoid valsalva, suction only if necessary, O2, hypothermia blanket, VS/Neuro checks frequently, glasglow coma scale report less than 8 |