Neuro Assessment
Most common indication of a change in neuro status.
What is a change in level of consciousness?
Symptoms may include: vision disturbances, slurred speech, and unilateral weakness, and the symptoms last for less than 24 hours.
What is a TIA?
Padded side rails, suction functioning, oxygen with mask available.
What are seizure precautions?
An inflammatory neurologic disorder characterized by bilateral paralysis that typically presents in an ascending pattern after an infection.
What is Guillan Barre Syndrome?
Disease process typically characterized by periods of exacerbation and remission.
What is multiple sclerosis?
Patient with profound neurologic injury pulls arms to their core when stimulated.
What is decorticate posturing?
Smoking, sedentary lifestyle, unbalanced diet, untreated diabetes or hypertension.
What are modifiable risk factors for stroke?
May be triggered by hyperventilation.
What are absent seizures?
An inflammatory neurological disorder characterized by generalized weakness and fatigue, particularly in the ocular and respiratory muscles.
What is myasthenia gravis?
Disease process characterized by destruction of the dopamine-producing neurons of the substantia nigra.
What is Parkinson's?
Hypoglycemia, hypoxia, alterations in electrolytes, medications, sleep deprivation.
What are factors that can impact a neuro exam?
Use simple language, avoid metaphors/idioms, allow patient's time to answer, do not finish patient's sentences for them, use the tools that work the best for the patient for communication.
What are nursing interventions for patients with aphasia?
May be characterized by picking, plucking, lip smacking or other mouth movements.
What are complex partial seizures?
Treatment that removes the antibodies in the blood to help reduce the autoimmune aspect of an inflammatory disorder.
What is plasmapheresis?
Classification of medications that are most effective for patients with Parkinson's in the first couple of years of their disease process, likely to have a "wearing off" effect.
What are dopaminergics?
Low heart rate, high blood pressure, erratic breathing pattern.
What is cushing's triad?
Rebleeding, vasospasm, and hydrocephalus.
What are complications of hemorrhagic stroke?
Implanted device that can help to control seizure activity.
What is a vagus nerve stimulator?
Inhibit the destruction of acetylcholine and it to accumulate at the synapse to promote nerve impulses.
What are anticholinesterase medications?
The oldest medication for MS, works by interacting with the interferons that impact the immune system.
What is interferon beta?
Optic, oculomotor, trochlear, and abducens.
What are the nerves most likely to be impacted by increased intercranial pressure?
How long the patient has had neurologic deficits, patient's age, results of head CT scan, recent surgeries, history of head bleed or trauma or spinal surgery.
What are inclusion/exclusion criteria for TPA and TNK?
First line medications to treat status epilepticus?
What are lorazepam or diazepam?
Autonomic disturbances
What is a potential complication of GBS?
The leading cause of death for patients with Parkinson's.
What is pneumonia?