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concept 4 > neuro med surg > Flashcards

neuro med surg Flashcards

(74 cards)

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1
Q

most common kind of meningitis

A

viral/aseptic

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2
Q

how is viral meningitis treated

A

resolves by itself

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3
Q

is there a vaccine for viral meningitis

A

no

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4
Q

what is the most common meningitis in pts with aids

A

fungal

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5
Q

what is normal pupil size

A

2-6 mm

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6
Q

what 3 responses are u testing w glasgow coma scale

A

eye opening
verbal
motor

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7
Q

what is the tool for assessing pts response to stimuli

A

glasgow coma scale

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8
Q

what is the glasgow coma scale range

A

3-15

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9
Q

what does a glasgow coma scale result of 3 mean

A

severe neuro impairment

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10
Q

what does a glasgow coma scale result of less than 8 mean

A

unconcious pt

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11
Q

what does a glasgow coma scale result of 15 mean

A

fully alert and oriented

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12
Q

what would u score spontaneous eye opening on glasgow coma scale

A

4

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13
Q

what would u score eye opening to speech on glasgow coma scale

A

3

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14
Q

what would u score eye opening to pain on glasgow coma scale

A

2

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15
Q

what would u score no eye opening to stimulus on glasgow coma scale

A

1

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16
Q

eye opening response to stimuli on glasgow coma scale score range

A

1-4

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17
Q

verbal response to stimuli score range on glasgow coma scale

A

1-5

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18
Q

score for oriented verbal response to stimuli on glasgow coma scale

A

5

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19
Q

score for confused verbal response to stimuli on glasgow coma scale

A

4

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20
Q

score for inappropriate words repsonse to stimuli on glasgow coma scale

A

3

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21
Q

score for unclear sounds response to stimuli on glasgow coma scale

A

2

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22
Q

score for no verbal response to stimuli on gladgow coma scale

A

1

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23
Q

score range for motor response on glasgow coma scale

A

1-6

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24
Q

score for obeying command motor response to stimuli on glasgow coma scale

A

6

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25
score for motor response to localized pain on glasgow coma scale
5
26
score for withdraw motor response to stimuli on glasgow coma scale
4
27
score for flexion motor response to stimuli on glasgow coma scale
3
28
score for extension motor response on glasgow coma scale
2
29
score for no motor response on glasgow coma scale
1
30
deep tendon reflex responses range
0-4
31
what would u score no response on deep tendon reflex
0 (absent DTR)
32
what would u score sluggish/diminished DTR
1+
33
what would u score active/expected DTR
2+
34
what is the normal DTR
2+
35
what would u score brisk hyperactive DTR
3+
36
what would u score brisk hyperactive DTR with intermittent or transient clonus
4+
37
neuro causes of a seizure
-CNS infection -brain tumor -head injury -drug/alcohol withdrawal
38
resp causes of seizure
-ABG imbalance -hypoxia
39
endocrine causes of
-hypoglycemia
40
cardio causes of seizures
-hypertension
41
systemic causes of seizure
-fever
42
causes of seizures
neuro: -brain tumor -alcohol/drug withdrawal -head injury -CNS infection resp: -hypoxia -ABG imbalance cardio: -hypertension endocrine: -hypoglycemia systemic: -fever
43
what is epilepsy
chronic seizures caused by a chronic condition
44
what are the 4 stages of a seizure
-prodromal -aura -ictus -post ictus
45
a seizure that lasts over 5 mins without any conciousness is called
status epilepticus
46
warning sign before a seizure is what stage
aura
47
symptoms starting before an actual seizure is what stage
prodromal
48
sudden jerking or stiffening of arms/legs is what kind of seizure
myoclonic
49
grand mal seizures are also called
tonic-clonic seizures
50
tonic phase of seizure is
stiffening of muscles
51
clonic phase of seizure is
twitching/jerking muscles
52
seizures that affect the entire brain are called
generalized seizures
53
seizures that affect one area of the brain are called
partial/focal seizures
54
what are the 4 types of generalized seizures
-tonic-clonic -myoclonic -absence -atonic
55
seizure where pt has blank stare is called
absence seizure
56
sudden loss of muscle tone is what kind of seizure
atonic seizure
57
sensory symptoms w motor symptoms where pt is still aware is what seizure
simple partial
58
altered behavior/awareness and LOC is what kind of seizure
complex partial seizure
59
stoke caused by a clot is called
ischemic stroke
60
what causes a ischemic stroke
clots (no blood to brain)
61
stroke caused by blood in brain
hemorrhagic stroke
62
how to treat ischemic stroke
alteplase (tissue plasminogen activator) (gets rid of clot)
63
what brain lobe is wernickes area
left temporal lobe
64
what brain lobe is brocas area
frontal lobe
65
which side of the brain controls the right side of the body
left side
66
which side of the brain controls the left side of the body
right side
67
if a pt has a stroke on the left side of the brain what side of the body will be affected
right side of body
68
if pt has a stroke on right side of brain which side of body will be affected
left side of body
69
each side of the brain controls what side of the body
the opposite side
70
not being able to understand words means what kind of aphasia
receptive aphasia
71
what area of brain is affected is pt has receptive aphasia
wernicke's area
72
aphasia where pt can understand speech but cant respond
expressive aphasia
73
what part of the brain Is affected if pt has expressive aphasia
broca's area
74
how should affected arm of stroke pt be placed
over pillow in neutral positiion

concept 4 (12 decks)

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