Neurological Assessment
This is the scale used to assess a patient’s level of consciousness after a head injury.
What is the GLASGOW COMA SCALE?
The zero reference point when leveling an EVD.
What is the TRAGUS of the ear (foramen of Monro)?
A stroke caused by bleeding into the brain tissue.
What is HEMORRHAGIC stroke?
This medication is commonly used to decrease cerebral edema.
What is MANNITOL?
This part of the brain controls balance and coordination.
What is the CEREBELLUM?
5-15mmhg
WHAT is the NORMAL INTRACRANIAL PRESSURE?
Unequal pupil size is called this and can indicate increased ICP.
What is ANISOCORIA?
A sudden drop in intracranial pressure in (ICP) from over-drainage of CSF can cause this dangerous complication.
What is HERNIATION?
Sudden temporary loss of neurological function that resolves within 24Hrs.
What is TRANSIENT ISCHEMIC ATTACK (TIA)?
The head of bed is usually positioned at this angle for patients with increased ICP.
What is 30 DEGREES?
The protective fluid that surrounds the brain and spinal cord.
What is CEREBROSPINAL FLUID (CSF)?
4, 5, and 6
What is the GLASGOW COMA SCALES (E-4, V-5, M-6)
This term describes an involuntary flexion of the arms, wrists, and fingers after brain injury.
What is DECORTICATE posturing?
The normal range of intracranial pressure in adults (mmhg)
What is 5-15 mmhg?
“Worst headache of my life” is most associated with this type of bleed.
What is SUBARACHNOID HEMORRHAGE (SAH)?
This anti-coagulant-reversal drug may be given in cases of hemorrhagic stroke on warfarin.
What is VITAMIN K?
This lobe of the brain is responsible for vision.
What is OCCIPITAL LOBE?
650.988.8369
What is the NUMBER OF STAFFING OFFICE?
Cushing’s triad includes bradycardia, irregular respiration, and this vital signs change.
What is HYPERTENSION (widening pulse pressure)
The type of fluid that should be used to flush an obstructed EVD line.
What is NONE (NEVER flush an EVD line)?
Continuous seizure activity lasting longer than 5 minutes is called this.
What is STATUS EPILIPTICUS?
Sedation with this class of drugs may be used to decrease brain metabolism and ICP.
What is BARBITURATES?
The brain stem is made up of these 3 parts.
What are the MIDBRAIN, PONS, and MEDULLA?
100.4 F and above.
What is the TEMPERATURE TO AVOID IN MANAGEMENT OF NEURO PATIENTS?
The cranial nerve assessed when checking pupillary light reflex.
What is CRANIAL NERVE III (oculomotor)
A major nursing action if CSF drainage stops unexpectedly.
What is CHECK THE SYSTEM FOR KINKS AND NOTIFY MD?
The priority nursing intervention if increased ICP is suspected.
What is ELEVATE THE HOB AT 30 DEGREES AND MAINTAIN AIRWAY?
This type of hypertonic solution may be given to reduce cerebral swelling.
What is 3% SODIUM CHLORIDE?
The circle of arteries at the base of the brain that provides collateral blood flow.
What is CIRCLE of WILLIS?
60-70 mmhg
What is the NORMAL CEREBRAL PERFUSION PRESSURE?