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Clin Phys > Neuro Assessment > Flashcards

Neuro Assessment Flashcards

1
Q

What are s/s of seizure?

A
  1. altered conciousness/ memory loss/ amnesia of event
  2. weakness
  3. delayed reponse
  4. headache
  5. elevated prolactin levels
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2
Q

What is special about Carbamazepine metabolism?

A

autoinducer of its own metabolism

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3
Q

What is the goal serum level for carbamazepine?

A

4-12

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4
Q

When should Phenytoin levels be checked?

A

24h after oral dose OR
1h after IV

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5
Q

What is the goal serum Phenytoin level?

A

10-20

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6
Q

What Phenytoin serum level is associated with toxicity?

A

> 50

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7
Q

What is the serum goal for valproic acid?

A

50-125

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8
Q

What toxcities are seen with valproic acid when serum levels > 150?

A
  1. hyperammonemia
  2. altered mental status
  3. N/V
  4. abdominal pain
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9
Q

What does BE FAST stand for?

A
  1. Balance difficulty
  2. Eyesight changes
  3. Face weakness
  4. Arm weakness
  5. Speech difficulties
  6. Time
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10
Q

What is a distinct sign of hemmorhagic stroke?

A

severe headache

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11
Q

How often should someone be monitored with the NIHSS stroke scale?

A

q 6-8h

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12
Q

What must be done before treating a stroke?

A

CT scan

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13
Q

How is ischemic/ fibrinolytic stroke managed?

A

Alteplace
Tenectaplase

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14
Q

Why should Alteplace/Tenectaplace not be used if systolic >185 or dyastolic >110?

A

increased risk of bleeding

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15
Q

What are exclusions for Alteplace/ Tenecteplace between 3-4.5h of stroke onset?

A
  1. age >80
  2. severe stroke (NIHSS>25)
  3. hx of diabetes AND prior stroke
  4. taking oral anticoagulant
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16
Q

How is hemorrhagic stroke managed?

A

lower BP stat

17
Q

How is BP managed for ischemic stroke?

A
  1. stop BP meds
  2. keep BP <180/105
  3. if not fibrinolytic can go up to 220 for 24-48 hours
18
Q

Why are high-intensity statins used for management post-stroke?

A

pleotropic effect (anti-inflammatory and increased blood flow)

19
Q

What is used for chronic management of ischemic stroke?

A

Atorvastatin 80mg
Aspririn/ antiplatelet

20
Q

What is used for chronic management of hemorrhagic stroke?

A

BP med

Clin Phys (15 decks)

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