Anatomy & Complex Neuro Exam
Horse's Tail
What is cauda equina named after?
Bedside swallow screen, VTE prophylaxis, rehab orders, stroke education, smoking cessation education, etc.
What are parts of the ischemic stroke core measures?
Q1H x 72hrs then Q2h while in place
What are the frequency of Neuro Checks for EVDs?
Helps to improve quality of life for patients with movement disorders.
What are deep brain stimulators?
6 Hours
What is the Post-Op Ambulation goal for Neurosurgical Spine Patients?
Eye opening, verbal response, and motor response.
What are the three components of the Glasgow Coma Scale?
A disruption of blood flow in the brain caused by a blood clot or plaque.
What is an ischemic stroke?
Measured Value of 3.0-4.9
What is a normal NPI with the pupilometer?
12 of these to protect the organs in the chest
What are thoracic vertebrae?
Aspen, Philadelphia, Soft, CTLSO, lumbar, and Miami-J
What are collars/Stabilization devices?
Biggest concern with vertebrobasilar infarcts.
A stroke in which vessels can cause locked-in syndrome?
Caused by a decrease in ADH that leads to polyuria
What is Diabetes Insipidus?
Pressure at which the brain is perfused.
What is Cerebral Perfusion Pressure (CPP)?
The nerve relays information (pain and sensation) to and from the brain
What are dermatomes?
Pain, Pallor, Pulses, Paresthesia, Paralysis, Polar, Perfusion, and edema
What are the 7P's + edema of a neurovascular assessment?
Deep in the middle of the brain and has the amygdala, hippocampus, thalamus, and hypothalamus.
What parts of the brain make up the limbic system?
The body produces too much ADH which leads to fluid retention.
What is Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
The volume of the intracranial contents remains constant (brain, CSF, and intracranial blood).
What is the Monro-Kellie Doctrine?
Nerve Root Impingement
What is Radiculopathy?
Opioids, PCA Pump, Muscles Relaxers, Hot/Cold Therapy, Deep Breathing, Benzos, Expressive Therapy
What is multimodal pain control?
Innervates trapezius and sternocleidomastoid muscles
What does Cranial Nerve 11 (Spinal Accessory) do?
Coughing, vomiting, trauma, sports/exercise, amusement rides, painting the ceiling, chiropractic procedures, or hairdresser
What are causes of dissection?
small pupils, darkly pigmented irises, inconsistent light source, distance to patient's eye, or subjective terminology
What are limitations to manual pupil assessment?
The disc ruptures and the nucleus spills out from the disc center, often causing nerve inflammation and irritation and resulting in severe pain.
What is sequestration?
Patient Education, Patient optimization prior to surgery, operative day protocol, post-operative/hospital stay, and post-discharge phase
What are the elements of an Enhanced Recovery Protocol (ERP)?