Altered Mental Status Flashcards

1
Q

Two types of Hemorrhagic Stroke

A

Subarachnoid bleed - surface of the brain

Intracerebral hemorrhage - inside the brain

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2
Q

Hemiplegia

A

Paralysis on one side of the body

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3
Q

Hemiparesis

A

Weakness on one side of the body

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4
Q

Cardizem

A

Calcium channel blocker (Afib)

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5
Q

Paradxa and Xarelto

A

Anti-coaglants

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6
Q

Withhold O2 from stoke patients with;

A

> 95% SP02

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7
Q

Target on scene time for stroke

A

<15 mins

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8
Q

Postictal states typically last:

A

5-30 mins

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9
Q

Gabapentin (nuerontin)

A

Sz Med

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10
Q

Phenobarbital

A

Sz Med

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11
Q

Lyrica

A

Sz Med

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12
Q

Lamictal

A

Sz Med

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13
Q

Tegretol

A

Sz Med

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14
Q

Seizures lasting over 30 mins

A

Status Elepticus (Medical emergency)

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15
Q

TIA

A

Stroke symptoms lasting less than 24 hours

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16
Q

Epidural Hematoma

A

Fx to the skull causing the meningeal artery to bleed into the dura mater.

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17
Q

Lucid Interval

A

Period of normality after waking up from a head injury

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18
Q

Subdural hematoma

A

Venous bleeding under the dura mater, from head injury

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19
Q

Distraction of the spinal column

A

Stretching along its axis

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20
Q

Subluxation of the spinal column

A

Misaligned vertebrae

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21
Q

Gustatory

A

Sense of taste

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22
Q

Olfactory

A

Sense of smell

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23
Q

Nervous system input is __________

A

Sensory

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24
Q

Nervous system output is __________

A

Nueromuscular

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25
Q

Brain and spinal cord

A

Central Nervous System

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26
Q

Nerves reaching to the organs of the body

A

Peripheral Nervous System

27
Q

Center for conscious thought

A

Cerebrum

28
Q

Center for memory

A

Cerebrum

29
Q

Center for personality

A

Cerebrum

30
Q

Center for speech

A

Cerebrum

31
Q

Center for motor function

A

Cerebrum

32
Q

Center for visual perception

A

Cerebrum

33
Q

Center for tactile impulses

A

Cerebrum

34
Q

Center for coordination of body movement

A

Cerebellum

35
Q

Center for balance

A

Cerebellum

36
Q

“Little Brain”

A

Cerebellum

37
Q

A stroke in this part of the brain may cause a person to be “uncoordinated and have vertigo” with no other deficits.

A

Cerebellum

38
Q

Center for respiratory and cardiac functions

A

Brain stem

39
Q

Center for digestion

A

Brain stem

40
Q

Center for glandular secretions

A

Brain stem

41
Q

Center for the Autonomic Nervous System

A

Brain stem

42
Q

Hole in the base of the skull

A

Foramen Magnum

43
Q

Lateral process of the vertabrae

A

Transverse Process

44
Q

System allowing a much faster reaction time

A

Spinal reflex arc

45
Q

Voluntary peripheral nervous system

A

Somatic

46
Q

Involuntary peripheral nervous system

A

Autonomic

47
Q

Somatic spinal nerves carry ____________

A

Sensory info into and motor commands out of spinal cord

48
Q

Somatic cranial nerves are responsible for?

A

Sight
Smell
Taste
Movement of the tongue

49
Q

Autonomic nervous system branches

A

Sympathetic Nervous System

Parasympathetic Nervous System

50
Q

“Fight or Flight” Nervous System

A

Sympathetic

51
Q

Parasympathetic nervous system

A

Slows the heart and respiratory rate. Diverts blood from muscles to the GI tract for digestion.

52
Q

L.A.M.S.

A

Los Angeles Motor Scale

53
Q

LAMS should take

A

20-30 secs

54
Q

Anisocoria

A

Unequal pupil size

55
Q

Presentation of seizures in children and infants

A

May be more subtle

56
Q

Common cause of seizures in children from 6 months to 6 years.

A

Fever

57
Q

Seizure signs in infants

A

Sucking motions, roving eye movements or repeated bicycling motions

58
Q

Treatment of febrile seizures

A

Cool with tepid water

59
Q

Child with photophobia, headache and a stiff neck may have:

A

Meningitis

60
Q

Rare symptom of meningitis in children

A

Unusual rash consisting of tiny pinpoint red dots, sometimes merging into splotches of purple or black

61
Q

are children or adults more prone to nausea and vomiting?

A

Children

62
Q

Dementia vs delirium

A

Dementia has a slow progressive onset, delirium occurs relatively quickly

63
Q

As you age your brain _______stretching vessels making them more prone to ___________

A

Shrinks, tearing

64
Q

TPA

A

Tissue Plasminogen Activator