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austin’s test!! > killin this test > Flashcards

killin this test Flashcards

(62 cards)

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1
Q

integrating and processing visual info

A

occipital lobe

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2
Q

language, processing auditory info, memory, learning

A

temporal lobe

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3
Q

sensations, recognizing objects, spatial judgement, time

A

parietal lobe

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4
Q

social skills, problem solving, planning/reasoning

A

frontal lobe

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5
Q

balance and coordination

A

cerebellum

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6
Q

what does the brain stem do

A

regulates breathing, body temp, heart activity

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7
Q

what are modifiable risk factors

A

Anything you can change.

weight loss, dietary, exercise… which then can control bp and blood glucose

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8
Q

nonmodifiable

A

anything you CANNOT change you are born with.

age, activity level, sedentary lifestyle, ethnicity, male female

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9
Q

ethnic group more at risk for HTN and diabetes

A

african americans

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10
Q

know your

A

cranial nerves!!

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11
Q

LOC most sensitive indicator

A

neuro status

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12
Q

brief response with peripheral stimulation

A

obtunded; pen to nail bed

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13
Q

complete awareness

A

conscious

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14
Q

opens eyes to verbal and peripheral stimulation but falls asleep when stimulation ceases

A

lethargic

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15
Q

difficult to stimulate; requires peripheral or central stimulation

A

stuporous; sternocleidomastoid pinch FIRST, STERNAL RUB

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16
Q

glasgow coma scale what is the best number and when do you intubate

A

15 best

less than 8= intubate

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17
Q

dilated pupils

A

cn 3 is compressed; PERRLA

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18
Q

pinpoint pupils

A

pons damaged or drugs

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19
Q

corneal reflex

A

used for patients that are unresponsive

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20
Q

cough and gag reflex

A

tongue blade to back of throat=gag

illicit gag reflex

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21
Q

babinski

A

positive- toes flare outward (BAD)

negative- toes curl (GOOD)

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22
Q

romberg test

A

identifies sensory ataxia, balance and coordination issues, or abnormal proprioception
damage to the cerebellum if not good

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23
Q

vestibulo-ocular reflex

A

doll eyes
positive is good- eyes stay with you without head movement
negative is bad- eyes move and stay with movement of head

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24
Q

decorticate

A

to the core

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25
decerebrate
arms are straight with wrists extended
26
flaccid
no muscle tone or movement
27
mannitol
osmostic diuretic that pulls fluid off of the brain, reduces ICP NI: strict i and o, monitor fluids and electrolytes, monitor serum os
28
hypertonic saline
``` 3% decreases cerebral edema given to central venous cath s/e: HYPERnatremia adn thirst monitor sodium, kidney, neuro changes, urinary output ```
29
how to find out cerebral perfusion pressure
MAP - ICP = CPP
30
MAP
(SBP + 2DBP)/3
31
what should CPP be
greater than 70
32
cortico/glucocoticoids end in
sone
33
used to treat inflammation and edema
steroids
34
why do you want to taper steroids
due to adrenal insufficiency. gives adrenal glands time to wake back up and secrete the natural steroid in our body
35
hyperglycemia, thin skin, adrenal insufficiency, elevated wbc, increased risk of infection, osteoporosis, stress ulcers
signs and symptoms of steroids
36
phenytoin what is it and what should you know about it (education)
seizures | steven johnson sydrome, gingival hyperplasia (teach patients to brush teeth)
37
phenytoin levels
7.5-20
38
normal icp
10-15
39
FAST what does it mean and what is it used for
Face drooping Arms raised.. or any extremity could be affected Speech slurred Time to call 911
40
romberg test
clinical dx maneuver to identify sensory ataxia, balance, and coordination issues. if test failed=damage to cerebellum
41
vestibulo-ocular reflex
"dolls eyes"; (+) reflex is good, (-) is bad. when positive eyes are able to stay with you with head movement.
42
posturing
indicated damage to the brain stem
43
Decordicate
arms are flexed to the core
44
Decerebrate
arms are extended straight with wrists extended.
45
flaccid
no muscle tone or movement
46
TPN
total parenteral nutrition: goes through central line
47
PPN
peripheral parenteral nutrition: not as concentrated and can be given through a peripheral IV
48
Tube Feeding
provides more nutrition than TPN/PPN, typically used in conjunction with one of the others
49
OG/NG feeding
confirm placement before use with PH test
50
swallow study
stroke or patients with head injury are NPO until nurse or speech therapy can preform
51
nurse bed side swallow study
pass = can feed the patient; fail = refer to speech therapy
52
communication
use communication board, always have pen and clipboard available, do not use family as interpreter.
53
who can feed stroke patients in the acute phase
RN only, no LPN or UAP
54
mannitol
osmotic diuretic that pulls fluid off the brain, watch for dizziness, HA, rebound ICP, seizures, and use new filter with each bag
55
hypertonic saline 3%
used to decrease cerebral edema, give through central venous catheter, watch for increased thirst and hyperNa, limit water intake
56
Cortico/Glucocorticoids
used to tx vasogenic edema surrounding tumors, abscesses, and reduce inflammation w/ spinal cord injury, not for head injuries,
57
Phenytoin (Dilantin)
prophylactic against seizures. test for pregnancy first, serum level 7.5-20, dilute with NS, watch for SJS and ataxia
58
barbituates
s/e: drowsiness, sedation, depression, avoid activities that require attention, they decreases warfarins effectiveness
59
CPP
MAP - ICP = CPP (SBP + 2DBP / 3 = MAP) want >70
60
ICP
normal 10 - 15, increase primarily caused by increased tissue like tumors, infections, edema; excess blood; excess CSF
61
uncal herniation
herniation of brainstem ( unilateral pupil fixed/dilated)
62
Cushing Triad
Increased SBP with widening pulse pressure, bradycardia with bounding pulse, and irregular respirations.

austin’s test!! (2 decks)

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