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Peds Exam II > Neuro > Flashcards

Flashcards in Neuro Deck (37):
1

name for the membranes in the neuro system

meninges

2

classic signs of ICP

headache and vomiting

3

best ways to assess infant's neuro status

milestones and reflexes

4

what age is too young to use the Glasgow coma scale

2 and under

5

type of spina bifida where there is a visible defect with a saclike protrusion

cystica

6

SB: contains no nerves, only meninges and spinal fluid

meningocele

7

SB: contains meninges, spinal fluid, and nerves

myelomeningocele

8

type of spina bifida where the vertebral arches fail to close

occulta

9

SB: no neuro deficit present

meningocele

10

what can prevent SB in pregnant women

folic acid

11

important to remember when myelomeningele sac is still present

keep clean and moist before surgery

12

contraindicated for SB patients

latex

13

a dilation of the ventricles of the brain due to excess fluid

hydrocephalus

14

an increase in what is commonly seen in hydrocephalus

head circumference

15

T or F: hydrocephalus may be caused by spina bifida

true

16

earliest sign of deterioration/improvement of cerebral function

levels of consciousness

17

VS consistent with ICP

decreased pulse, decreased respirations, increased BP, increased temp

18

if the pupils look like this it is a neuro emergency

fixed and dilated

19

what do fixed/dilated pupils usually indicate

brain damage

20

proper position for lumbar puncture

side-lying with legs pulled up and head bent down

21

type of spina bifida where nothing is visible externally

occulta

22

important to remember when myelomeningele sac is still present

keep clean and moist before surgery

23

common cause of hydrocephalus in later childhood or adulthood

intracranial mass, infection, hemorrhage

24

T or F: hydrocephalus may be caused by spina bifida

true

25

best diagnostic test for hydrocephalus

CT/MRI

26

what is the "setting sun sign"

when a child's sclera can be seen above the iris

27

in what disorder is the "setting sun sign" commonly seen

hydrocephalus

28

proper positioning after shunt placement

lying on opposite side of shunt

29

most common timeframe for VP shunt infections

1-2 months after placement

30

T or F: sitting a child up quickly is OK to do after shunt placement

F, it can cause a rapid decrease in ICP/fluid

31

ways to dx meningitis

LP, CBC, blood culture, CT/MRI

32

T or F: bacterial meningitis is a medical emergency if left untreated

TRUE

33

are Kernig/Brudinski signs positive or negative in meningitis

POSITIVE

34

results of lumbar puncture when pos for meningitis

cloudy CSF, decreased glucose, increased protein

35

when is a lumbar puncture contraindicated

when there is increased ICP

36

should IV fluids be given when pt has meningitis

no

37

type of isolation precautions for meningitis pt

respiratory isolation