ICP Word Scramble

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Question	Answer
1st sign of increased ICP	change in mention
last thing that happens before death w/ increased ICP?	herniation
cranial nerve 9 and 10 test	cough an gag
CN 5	corneal reflex and blink
CN 3	pupillary response do every day
Oculocephalic Reflex testing nerves?	contraindicated w/ pt.'s with SCI if pt. keeps looking at examiner= intact reaction (positive) if eyes turn were head is going = absent abnormal brain stem function 3,6,8
Cushings triad	irregular resp.(chynes stroke) bradycardia and increased SBP w/ widended pulse pressure
lumbar puncture	L3 and L4 -contraindicated in increase ICP - can do it judicially to drain CSF -lateral recumbent position
decrease glucose in CSF?	bacterial infection, meningitis
regular ICP?	0-15 regular >=20mmgh for >5min is increased ICP
CPP normal range	60-100 >100 is cerebral HTN <70 cerebral ischmia <40 irreversible brain ischmia
kernig's	pain in the neck when extending the knee
brudinski?	involuntary flexion of the hip when the neck is flexed towards the chest
what do we level ventricular drain ?	external: tragus inside: foraman of monro
what fracture do we see raccoon eyes and battle signs	basilar skull fracture
epidural hematoma is ____ bleed?	arterial bleed
pt. says worst HA of my life?	subarachnoid hemmorhge
ipsilateral pupil change, what hematoma	epidural (same side ipsilateral pupil change)
which one occurs in minutes to days?	subdural
has 3 categories - involves venous artery -highest mortally rate -torn cortical vein most common cause -occurs within hours to days	subdural hematoma
what is the most common cause of intra cerebral hematoma?	uncontrolled HTN
safest rate to drain CSF?	480/500ml/day 20ml/hr
uncle herniation early signs	early: babinski, cheynes stokes, ipsilateral dilated pupil late: central-lateral hemiplasia,
cerebellar tonsil herniation ?	decreased RR, bradycardia, decreased HR and cushngs
subdural, what kind of bleed?	VENOUS S.V
Epidural, what kind of bleed?	arterial bleed
pt. comes in and says having worst HA of their life, what kind of hematoma?	SAH subarachnoid hemmorahe
SAH tx: to prevent vasospasm?	nimodipine
SAH is the rupture of the circle of?	SAH IS RUPTURE OF THE CIRCLE OF WILLIS
SCI:
INJURY ON S2 S4=	SEXUAL DYSFUNCTION
PT. SCI BELOW T12?	ERECTION BUT NO EJACULATION
PT. SCI ABOVE T11?	ERECTION , 10% EJACULTION
AUTONOMIC DYSREFELXIA?	ABOVE T6
C1 to C3 ?	VENTILATOR DEPENDENT
C4 to C5	AKA pt. needs phrenic nerve stimulator to breath PHRENIC NERVE INVOLVEMENT May need phrenic nerve pacemaker
BELOW C5 – T6	DIAPHRAGMATIC BREATHING IN TACT (ABLE TO breath on their own) with varied muscle impairment (intercostal and abdominal)
SPINAL SHOCK S/S?	INCREASE BP, INCREASE TEMP BUT EVERYTHING GOES DOWN BOWEL AND BLADDER DYSFINCTION
SPINAL SHOCK IS THE ELECTRICAL _____ FROM THE SPINAL CORD	SILENCE
Autonomic Dysreflexia S/S	INCREASE BP POUNDING HA DECREASED HR BLURRED VISON -DIAPHORITIC MEDICAL EMERGENCY ABOVE T6

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