Name that cranial nerve
Drugs! I mean Meds...
Who am I?
Whatcha gonna do
Life is like a box of chocolates
100
Use the Snellen Test to assess and use PERRLA
Which cranial nerve am I?
Cranial Nerve 2- Optic
100
Mild to Moderate Pain
Acetaminophen (Tylenol)
100
This virus causes inflammation leading to nerve compression
Who am I?
Bell's Palsy
100
You have a preschool-age patient. After assessing the patient you notice the patient has the following:
brachycephaly, flat face, wide bridge, low set ears. Upon further assessment, you confirm it is Down Syndrome. What considerations would you consider?
* Safety precautions
slow to reach milestones,
weak, clumsy, tripping
100
This tool is utilized to categorize consciousness levels based on eye-opening, verbal
response, and motor response
Hint: Score of 15 is normal
Glasgow Coma Scale
200
As Kurt stated (hey bestie where you at)
You would assess by holding one nostril and using coffee beans
Which cranial nerve am I?
Cranial Nerve One- Olfactory
200
An osmotic diuretic
Increases osmotic pressure to draw fluid from the brain tissue into the bloodstream
Mannitol
200
A rare, autoimmune disorder characterized by ascending paralysis, often triggered by an infection
S/S: Symmetric limb weakness, paresthesia, absent reflexes, potential respiratory failure if the thoracic nerves are involved
Guillain-Barre Syndrome
200
What must you consistently monitor for a patient who has a concussion?
LOC
200
True or False:
Decorticate posturing is much more common brain injury posturing, and it is the final stage of posturing-
imminent death.
False
Decerebrate is the correct answer.
300
Smile as I take your picture!
Ask pt to raise eyebrows
Which nerve am I assessing for?
Facial Nerve- Cranial Nerve 7
#throwback
300
An Antiepileptic used to prevent and treat seizures
Phentoyin
300
Cranial Nerve 5
Burning, knife-like facial pain, twitching, tearing, facial grimacing, triggered by various stimuli, brief episodes lasting 2-3 minutes
Who Am I?
Trigemnial Neurlagia
300
How would you diagnose cerebral edema?
CT scan , MRI, and C-Spine
300
What is the normal range for ICP?
5-15 mm Hg
400
Open your mouth and say AHHHH
*You would use a tongue blade and check for *gag relfex and assess for swallowing
Which TWO cranial nerves am I?
Cranial Nerve 9 (Glossopharyngeal Nerve)
Cranial Nerve 10 (Vagus Nerve)
400
An Antiseizure
Given to those with chronic tension-type headaches
Topriamate
400
Diminished Respiratory Effort
BP: Systolic increase
Diastolic decrease
Pulse decreases, hypertension, bradycardia
Cushing's Reflex
400
How would you treat a Hematoma?
(Multiple Answers)
ABCs, oxygen administration, ICP management, large bore IV
access, GCS assessment (intubation if GCS < 8), and C-spine stabilization
400
What is important to educate your patient who is taking medications such as Phenytoin, Dilantin, or Carbamazepine?
NO grapefruitjuice or black tea 
Take with meals
Report any visual changes
500
You would assess facial sensation, such as grabbing a cotton ball to the person’s face and ask...
" how does it feel"?
you can also assess for chewing
Trigeminal Nerve
Cranial Nerve 5
500
A Serotonin Receptor Agonist
Relief of acute attacks of migraine
Sumatriptan
500
Cranial Nerve VII
Unilateral face drooping, drooling, dry eye/mouth, taste changes, hearing loss, difficulty speaking and eating
Who Am I?
Bell's Palsy
500
You patient begins to experience a seizure, what will you do right away after you call for Rapid?
Protect from injury(head), warning signs, put on their side, do not restrain, remove
restrictive clothes, eyeglasses, do not put anything in the *** aspiration protection via
head to side
500
How would the nurse assess cranial nerve III for an early sign of pressure on the brainstem ?
a. Assess for nystagmus b. Test for the corneal reflex c. Test pupillary reaction to light d. Check for oculocephalic (doll's eye) reflex
C. Test for pupillary reaction to light
600
You would use a tuning fork to assess
You would also assess the patient's gait (Roomberg's Test)
Which cranial nerve am I?
Cranial Nerve 8
Vestibulocochlear Near
600
Selective serotonin reuptake inhibitors
Anti-depressant
(2 answers)
Fluoxetine(Prozac) and Sertraline (Zoloft),
600
You assess a patient and notice the following:
Restless, confused, and decreased response to questions
Systolic hypertension with widening pulse pressure
Bradycardia with bounding pulses and Irregular resp
**Cushing's Triad, what do you suspect the pt has?
Cerebral Edema
600
You have a patient who is diagnosed with Guillain-Barre Syndrome.
What are the nursing considerations and treatment?
Treatment: Plasmapheresis, IV immunoglobulins in the acute phase, mechanical ventilation if necessary
Nursing Considerations: Monitor for respiratory function, maintain mobility and strength post-acute phase, and provide emotional support
600
What is the priority intervention in the ED with a patient with a stroke?
a. IV fluid replacement b. Giving Osmotic diuretics to reduce cerebral edema c. Maintaining respiratory functions with a patent airway and oxygen administeration
C
700
“Can you shrug your shoulders for me”?
Which cranial nerve am I?
Cranial Nerve 11
Accessory Nerve
700
All of us on Halloween during lecture
700
Widespread axonal damage due to rapid brain
movement inside the skull, leading to disconnection and global cerebral edema
Diffuse Axonal Injury (DAI)
700
You have an irritable infant, who has an increased head circumference, and bulging fontanels They also have widening suture lines, sunset eye; high - high-pitched cry; feeding difficulties, and decreased muscle tone.
You suspect Hydrocephalus, what are you going to monitor and educate the parents?
Monitor for signs of IICP; maintain seizure
precautions, elevate HOB; and prepare parents for
shunt placement
Shunt care - assess fontanels, irritable,
lethargic
Assess for s/s infection; fever greater than
100.5; shunt tract appears to be red, tender or
swollen; decreased feeding; vomiting; stiff neck;
monitor I/O
Educate parents that shunts need to be revised
as child grows
700
What methods are used to assess the facial (CN VII) nerve? Select all that apply.
a. gag reflex
b. visual fields
c. corneal (blink) reflex test
d. Light touch to the face
e. Smile, Frown, Close Eyes
C E
Gag Reflex is associated with The Glossopharyngeal (CN IX) and Vagus (CN X) Nerve
Visual Field Testing is for the Optic Nerve (CN II)
800
Ask the patient to look at a near object (4-6 inches).
2. Slowly move the object away to 12 inches.
3. Observe Pupil Response
You would assess for these three cranial nerves Which ones are they?
Cranial Nerve 3- Oculomotor
Cranial Nerve 4- Trochlear
Cranial Nerve 6- Abducens
800
Which drug therapy for acute migraine and cluster headaches appears to alter the pathophysiological process for these headaches?
a. Anti-depressants (such as amitriptyline)
b. NSAIDs c. B-andrenergic blockers, (such as propanolol) d. Specifc serotonin receptor angonatists such as Sumatriptan
D
800
Battle Sign's, Racoon Eyes, Otorrhea, Rhinorrhea, and a positive Halo Sign..
Who am I?
Head Injury
800
You have an infant with Spina Bifida.
What are the nursing considerations, and how would you treat them?
Pre-op
• Child on the abdomen, FOB elevated, legs abducted
• Keep sac free of urine/stool
• Cover the sac with a moist sterile dressing
• Monitor head circumference/ fontanels every 8
hours
Post -OP
Same assessments: infant should be prone
Long-term care:
Self-catheterization/family
Bowel program (high fiber, fluids, increase, fluids,
suppositories as needed)
ROM exercises, bracing, ambulation
Skin assessments
Realistic goals, support
800
The blood–brain barrier (BBB) is generally very effective at preventing unwanted substances from accessing the brain,
What substances can across the BBB?
Small, lipid-soluble molecules
Water
Small ions
Essential polar molecules
CBD and THC in cannabis
**Anti-depressantes SSRI’s
Anxiolytics-Benzodiazepines
Antipsychotics- Haloperidol
**Antiepileptics
900
Asking the patient to extend the tongue and inspecting it for atrophy, fasciculations, and weakness (deviation is toward the side of a lesion)
The 12th (hypoglossal) cranial nerve
900
A Patient is having a seizure that is lasting longer than 5 minutes, what medication are you going to give?
Lorazepam (Ativan)
900
Disruption of the blood-brain barrier allows fluid leakage into the extracellular space.
Common Causes: Brain tumors, abscesses, or inflammation.
Vasogenic Edema (Most Common)
900
How will you treat a child with Cerebral Palsy?
Managing symptoms:
encouraging mobility, facilitating communication, providing pain management, preventing complications like pressure sores, educating the family on care needs, and supporting their emotional well-being, all while tailoring interventions to the child's specific needs and abilities.
900
One of the factors causing ICP is Blood Gases...
True or False: Decreased CO2 levels cause vasodilation, increasing CBF and potentially ICP
False
Elevated CO2 levels cause vasodilation, increasing CBF and potentially ICP