Altered Mental Status- extracted from Jarrod torture chambers

Question 1

What is mental status composed of?

Answer 1

Responsiveness and orientation

Question 2

AEIOUTIPS?

Answer 2

Alcohol, epilepsy, Insulin, Overdose, under dose/uremia, trauma/temperature/thiamine deficiency, Infection, poisoning/psychiatric, seizures/strokes,

Question 3

Frontal lobe function?

Answer 3

Problem solving, emotions, producing speech; think brocas area

Question 4

Parietal lobe function

Answer 4

Perception, proprioception

Question 5

Temporal Lobe fucntion

Answer 5

memory/understanding language; think Wernicke’s area

Question 6

Occipital Lobe function

Answer 6

Sight

Question 7

Normal Intracranial Pressure Value?

Answer 7

5-15 mm/hg

Question 8

When does ICP become dangerous?

Answer 8

15 mm/hg or greater

Question 9

What value of ICP represents herniation?

Answer 9

Greater than 25 mm/hg

Question 10

What CPP value is required for adequate perfusion of the dome?

Answer 10

60 mm/hg

Question 11

When cerebral herniation occurs, we need to maintain a MAP of _____ or a systolic of _____

Answer 11

85, 110

Question 12

When cerebral herniation occurs we need to maintain an ETC02 of _____?

Answer 12

30-35 mm/hg

Question 13

What is the criteria for a Cerebral herniation

Answer 13

A GCS of less than 9 with either; blown pupils, decerebrate posturing, or a rapid drop in GCS of two points or more.

Question 14

What are the trademark triad of Cushing’s response in TBI

Answer 14

Hypertension, bradycardia, irregular respirations

Question 15

What does a concussion indicate?

Answer 15

No structural damage to the brain that can be seen on imaging

Question 16

What are some trademark signs and symptoms of concussion?

Answer 16

Variable period of consciousness, with a return to normal consciousness. Retrograde amnesia. Dizziness. Headache. Nausea. tinnitus.

Question 17

What is a cerebral contusion and how does it present?

Answer 17

It is defined as bruised brain tissue

it presents with prolonged unconsciousness or a serious alteration in LOC.

Question 18

What are four hallmark signs of Cerebral Contusion?

Answer 18

prolonged unconsciousness, Stroke like symptoms, personality changes, prolonged amnesia