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Flashcards in Lab Work and Physical Assessment Deck (20):
1

mneumonic for cranail nerves
On Old Olympus Towering Top A Fin and German Viewed Some Hops

olfactory
optic
oculomotor
trochlear
trigeminal
abducens
facial
acoustic
glossopharyngeal
vagus
spinal accessory
hypoglossal

2

mneumonic for cranial nerves
S=sensory M=motor B=both
Some Say Marry Money But My Brother Says it's Bad Business to Marry Money

Olfactory
optic
oculomotor
trochlear
trigeminal
abducens
facial
acoustic
glossopharyngeal
vagus
spinal accessory
hypoglossal

3

Assessing I olfactory

distinguishing smells

4

assessing II optical

EOM's, identify the number of fingers in central field

5

assessing III oculomotor, IV trochlear, VI Abducens

EOM's

6

assessing V trigeminal

able to sense touch queally on checks and forehead and chew symmetrically,

7

assessing VII facial

smiles symmetrically and frowns symmetrically

8

assessing VIII auditory

hears equally

9

assessing IX glossopharyngeal

gag reflex intact

10

assessing X vagus

able to make guttural sound

11

assessing XI accessory

shrugs shoulders symmetrically

12

assessing XII hypoglossal

sticks out tongue in midline without tremors

13

Normal level
Na

K

Protein total

HgbA1C

creatinine

Ca

136-146 mEq/L


3.5-5.1 mEq/L

6-8.5 g/dL

less than 6.5

M 0.7-1.3 mg/dL
F 0.6-1.1 mg/dL

8.4-10.2 mg/dL

14

Normal level
TSH

free T3

free T4

2-10 mcU/ml


2.3-4.2pg/ml

0.7-2.0 pg/ml

15

Normal Level
ALT/SGPT

Albumin

AST/SGOT

Bilirubin

CPK

0-55 units/L

3.5-5 g/dL

0-50 units/L

0.2-1.2 mg/dL

male: 55-170
female 30-135

16

Normal Levels
RBC

HCT

HGB

WBC

m 4.3-7 million/mm3
f 3.8-5.1 million/mm3

m 39-49%
f 35-45%

m 13.5-17.5 g/dL
f12.0-16.0 g/dL

4.5-11 thousand/mm3

17

symptoms of serotonin syndrome

diarrhea
diaphoresis
tremor
ataxia (in-coordination)
myoclonus (brief, involuntary twitching of muscle or group of muscles)
hyperactive reflexes
disorientation
lability of mood
treatment: cyproheptadine Periactin (blocks 5HT production) and is used; hospitalization, fluids for dehydration, BZD for agitation or seizures

18

neuroleptic malignant syndrome characteristics

life threatening complication that can occur anytime during a course of antipsychotic treatment;
-motor and behavior sx: muscular rigidity
dystonia
akinesia
mutism
obtundation
agitation
-autonomic sx: hyperthermia
diaphroesis
increased pulse and BP
-Lab findings: increased WBC, creatinine phsphokinase (CPK), liver enzymes, plasma myoglobin and myoglobinuria, and commonly associated w/ renal failure
-sx evolve over 24-72 hours; untreated lasts 10-14 days

19

neuroleptic malignant syndrome treatment

often dantrolene (Dantrium) and bromocriptine (Parlodel)
sometimes amantadine (Symmetrel)
-Bromocritpine and amantadine pose direct DRA affects and my overcome the antipsychotic induced dopamine receptor blockade
-ECT has been used
-antipsychs with highest anticholinergic activity seem less likely to cause NMS

20

agranulocytosis reflective on lab work

looking at WBC and ANC
normal WBC >or equal to 3500/mm3 and ANC >or equal to 2000/mm3

Mild leukopenia/granulocytopenia: WBC 3500-3000; ANC 2000-1500
Mod: WBC 3000-2000; ANC 1500-1000
Severe: WBC