Drugs
Fibrinolytic used to emergently treat ischemic strokes
TNK
First-line imaging in neuro
CT
To treat SAH, IVH, Hydrocephalus
EVD
When your patient has a facial droop, facial sensory deficits, or a tongue deviation it is safe to assume that _______ has also been affected
Swallowing
The most common antiepileptic used in the ICU
Keppra
Best test to monitor for seizures
EEG
Compressing plaque with a balloon
Angioplasty
Your patient just arrived from the OR s/p mechanical thrombectomy with the OR RN and anesthesia, what important information do you need from them before they leave?
Closure time
How long do we need to be flat (if fem approach)
Pre & Postop NIH
Drugs given
Do NIH together and assess the incision
Group of medications commonly used to decrease cerebral edema, hydrocephalus and ICP
Hypertonic saline
or osmotic diuretics
A diagnostic procedure where the Dr is able to look at the vasculature of the head and neck, assess patency, identify abnormalities (aneurysm, AVM) and intervene if necessary
Cerebral Angiogram
An incision in the neck is made to remove a clot
Carotid Endarderectomy
Your patient fell from a ladder and sustained a C4 fracture. What do you expect to find during a neuro exam?
Quadraplegia & loss of respiratory fuction
Medication used to increase blood flow to injured brain tissue in patients at high risk for vasospasm
Nimodipine (Nimotop/Nymalize)
Cold calorics, Apnea, Nuclear med scan are all components of
Brain death testing
This procedure decreases ICP while allowing the brain to swell
Decompressive Hemicraniectomy
Your patient's EVD (@0cmH2o) has not drained in 1H. The ICP on the monitor is 2. You raise the drain and it is sluggishly tidalling. What do you suspect is happening and what do you do about it?
It's clogging, drop the drain to clear it.
Medication given intra-arterially to treat vasospasm
Verapamil
Used to identify meningitis, SAH, NPH and ICP
Lumbar Puncture
To secure an aneurysm that has a wide neck and/or is very large and other methods are unsuccessful
Crani for clipping
You observe your patient with an acute onset R gaze deviation. Your patient is either having a _____ sided stroke or a ____ sided seizure
R stroke or L seizure