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Med Surg 3 Neuro complete A+ graded

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Med Surg 3 Neuro complete A+ graded functions of nervous system - answers controls all motor sensory, autonomic, cognitive, behavioral activities parasympathetic nervous system - answers rest and digest : constricts the pupils altered LOC - answers most important ind...

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  • November 24, 2023
  • 13
  • 2023/2024
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Med Surg 3 Neuro complete A+ graded




functions of nervous system - answers controls all motor sensory, autonomic, cognitive,
behavioral activities

parasympathetic nervous system - answers rest and digest : constricts the pupils

altered LOC - answers most important indicator of pt condition
cont from full alertness and full cognition to coma

coma - answers unresponsive, unarousable, unresponsiveness

assess of altered LOC - answers assess verbal response and orientation, alertness,
motor response, respiratory status, eye signs, reflexes, postures, GCS, CN

eye movement CN - answers 3, 4, 6

CN 5 - answers trigeminal (face sensation)

CN 7 ` - answers facial, salivation

CN 8 - answers Vestibulocochlear : hearing, balance

CN 9 Glossopharyngeal - answers swallowing and gag reflex

glasgow coma scale - answers motor: 6, verbal:5, eye opening: 4
coma: 8 or less

Decordicate posturing - answers arms flexed and legs internally rotated

Decerbrate - answers arms pronated

Cerebral angiography (CT w contrast) - answers ident aneuy, vascular malformations,
narrowed vessels

cerebral angiography prep - answers lie flat, dye into femoral arterty
(BUN/creat, hydration)

, post cerebral angiography - answers neuro assessment q 15-30 until vitals stable and
site q 1 hour
neurovascular assess
keep flat 12-24 h,

lumbar puncture - answers at L3-L4 into subarachnoid space
lateral recumbent fetal position

Transcranial doppler - answers cerebral blood flow
can assess vasospasm, oculsive vessel syn, brain death

post lumbar puncture - answers neuro checks q 15-30 mins
flat for several hours
PO fluids to 3000 ml
oral pain meds for HA
dressing for bleeding or drainage
assess for HA when sitting upright after (CSF lesk)

complications of lumbar puncture - answers brainstem herniation

what test to do before lumbar puncture - answers CT scan to see if space occuying
lescion present

EEG test - answers records elect activity of the brain
done by tech in quiet room
hold tranq / stimulants (inc coffee)
keep awake the night before test
WASH HAIR AFTER

CT scan - answers detects hemmorhage, infraction, abcess, tumor
immobile during exam, flushing / warm during dye

Myelogram test - answers visualizes spinal cord and subarach space
NPO 4-6 hours before
allergy hx(iodine / shellfish)
if CSF leak = blood patch
CNS depres held 48 hours before
table moved to various positions and lie on back

post myelogram - answers neuro assessment q 2-4 hours
elevate HOB 30-45 degrees for 3 hours
oral analestic for HA
enourage fluids
assess distended bladder
inspect site

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