Chapter 17
Neurologic Emergencies
Neurologic Emergencies
Name the 2 types of stroke
Hemorrhagic and Ischemic
Where is the appendix located?
Right upper quadrant
Endocrine glands secrete what?
Hormones
How should you remove a stinger?
Use the edge of a card or something that is sharp/stiff
What pneumonic should you use for cholinergic overdoses?
SLUDGEM
What 3 things should you assess for a stroke?
Facial droop, arm drift, and slurred speech
What is melena? What is it a sign of?
Dark tarry stools, GI bleeding
What is polyphagia?
Excessive Hunger
What is anaphylaxis?
An immune response that affects more than 1 body system
List two questions you should as a patient or bystander about a poison contact?
How long ago did it happen?
How much of it was in contact?
Weight of the patient?
What is the poison?
What is a postictal state?
The time of altered mental status following a seizure
What are esophageal varices?
When the vessels in the esophagus rupture due to a back up of blood (increase in pressure) from the liver.
How much oral glucose do you give?
The whole tube, 15 grams
What is another word for hives?
Uticaria
If you patient had a wet acid/alkali on them what should you do?
Irrigate for >15 minutes
What triad would you use to determine a hemorrhagic stroke or increase ICP?
Cushing's Triad
What is ileus?
The paralysis of muscular contractions that move the bowels
What respirations are common in patients with DKA?
Kussmaul- rapid and deep
Name 3 signs of anaphylaxis
Stridor
Wheezing
Hives
Hypotension
Tachycardia
Edema
If someone ingests a poison, what medication should you consider administering? How much?
Activated Charcoal, 1 g/kg
What is the pneumonic you should use for altered mental status?
AEIOU-TIPS
Where does gallbladder pain refer to?
Right shoulder
What is HHNK (hyperosmolar hyperglycemic nonketotic syndrome)
Similar to hyperglycemia in type 1 but there is no keytones.
Signs/symptoms: hyperglycemia, AMS, dehydration, weakness, and seizures
How much epi does a child receive from an epi pen?
0.15 mg
If a patient has slow or absent respirations with contricted pupils, what overdose should you consider?
Narcotic Overdose