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Neuro Assessment
Neuro Exam
Question | Answer |
---|---|
Term used when pt not oriented, does not follow commands, or needs persistent stimuli to achieve a state of alertness | Altered LOC |
The earliest and most sensitive indicator that the pt's neuro status has changed | LOC |
Term for no purposeful response | Coma |
______ ________ is a term for unresponsive, no voluntary movement. | Akinetic mutism |
Term for unresponsive, has sleep-wake cycle after coma, no cognitive funcion | Persistent Vegetative State |
Term for pons injury, paralysis, has vertical eye movement and lid elevation. Rapid infusion of Na can cause this. | Locked-in syndrome |
LOC indicates state of awareness and | Cortical function |
Assessment tool that evaluates three areas | Glasgow Coma Scale |
What three areas does the Glasgow Coma Scale evaluate? | Eye opening, verbal response, and motor response |
Highest score of GCS is? | 15 |
Lowest score of GCS is? | 3 |
GCS of 8 or under indicates? | Coma |
How could we assess attention and concentration? | Count backwards by 7, Days of the week backwards |
How could we assess recent memory? | Name 3-4 objects, recite after 5 minutes |
How could we assess remote memory? | Have pt recall things in the past |
Term for display of emotions; calm and appropriate, cheerful or inappropriate, flat, dull, depressed | Affect |
Term for ability to assess and monitor one's own cognitive, motor, or sensory function | Insight |
Person with impairments in insight may not have insight into? Example? | Consequences; think can drive but forget where going |
In an unconscious pt, stimuli may illicit an _________ response | Abnormal |
Response to pain can be evaluated by what two actions? | Sternal rub, squeezing of nail bed |
Term for abnormal flexion | Decorticate posturing |
Term for abnormal extension | Decerebrate posturing |
________ posturing is a sign of a more severe prognosis (brain stem, cerebellum) | Decerebrate |
Babinski reflex is _________ response and is abnormal. | Positive |