Straight Out of Glasgow
(Neuro Assessment)
(Neuro Assessment)
Changes in ______ is the earliest reliable indicator for increase in ICP
What is level of consciousness?
The most common distal placement for a shunt
What is the peritoneal cavity?
This hormone is deficient in central diabetes insipidus
What is antidiuretic hormone?
This type of meningitis is considered a medical emergency that requires treatment.
What is bacterial meningitis?
The spinal cord is being tugged down in this condition
What is tethered cord?
When assessing your patient's level of consciousness, start with this type of stimuli because it is the less invasive.
what is Visual?
A bedside procedure that can be performed on a patient with a suspected shunt malfunction to "buy more time"
What is shunt tapping?
Normally a PCT responsibility, this measurement should be closely monitored by the RN for patients with DI.
What are Is & Os?
Patients hospitalized for infectious illnesses, like meningitis and encephalitis, should have their hydration status closely monitored to catch early signs of this.
What is sepsis?
The risk for this will determine the length of time a patient must remain flat after a laminectomy.
What is a CSF leak?
While palpating the patient's head, this infant specific assessment finding is indictive of increased ICP
What is bulging fontanel?
A collection of fluid at the end of a shunt causing abdominal distention and decreased CSF absorption.
What is a pseudocyst?
Excessive _____ and frequent ______ are hallmark symptoms of DI.
What is thirst and urination?
Prominent psychiatric symptoms is a hallmark sign of this type of encephalitis.
what is Anti-NMDA receptor encephalitis?
This medication is often used to treatment muscle spasms that occur when back muscles are cut into during a laminectomy.
What is Valium?
Cushing's triad, a late sign of increased ICP, consists of widening pulse pressure, irregular respirations, and _________.
What is bradycardia?
3 nursing assessments to be completed every 2 hours when an EVD is clamped
What is v/s, neuro assessment and EVD site assessment?
This electrolyte is crucial to monitor in patients with DI
What is sodium?
When a patient presents with concerns for meningitis or encephalitis, these two antibiotics a commonly administered until a bacterial cause can be ruled out.
What is Rocephin and vancomycin?
Doing this to your patient every two hours will help with pain management and mobility
What is reposition?
Watching a patient's eye movements as they "follow the light, just with their eyes" is assessing these 3 things.
What are cranial nerves 3, 4 and 6?
Your first intervention when you notice you patient's EVD isn't draining.
What is trace your line? (check clamps, troubleshoot)
Your dose of DDAVP may be too ___ if the patient starts dumping urine hours before the next dose is due.
What is low?
Derived from pooled antibodies, this immune modulator is used in the treatment of post-infectious and autoimmune encephalitis
What IVIG?
What additional HAC bundle may be necessary for a laminectomy patient?
what is CAUTI bundle?