Chp 24 Neurological Assessment

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Anonymous
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141244
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Chp 24 Neurological Assessment
Updated:
2012-03-12 21:28:53
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nursing
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nursing
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  1. what to ask for when gathering subjective neuro data?
    headache, head injury, dizziness/vertigo, seizures, tremors, weakness, lack of coordination
  2. cranial nerves
    • 1. olfactory
    • 2. optic
    • 3. oculomotor
    • 4. trochlear (eyes)
    • 5. trigeminal
    • 6. abducens (eyes)
    • 7. facial
    • 8. vestibular (acoustic)
    • 9. glossopharyngeal (taste)
    • 10. vagus (throat)
    • 11. accessory (shoulder)
    • 12. hypoglossal (tongue)
  3. CN1 olfactory
    smell
  4. CN2 optic
    visual acuity, visual fields
  5. CN3 oculomotor
    eye movement, accommodation, pupil constriction, eyelid
  6. CN4 trochlear
    eye movement downward and inward
  7. CN5 trigeminal
    corneal reflex, face sensation, chewing
  8. CN6 abducens
    lateral eye movement
  9. CN7 facial
    taste-anterior 1/3, movement of forehead and mouth, raise eyebrows, smile, show teeth
  10. CN8 vestibular (acoustic)
    • hearing and balance
    • test with weber and rinne
  11. CN9 glossopharyngeal
    swallowing and phonation, taste post 1/3
  12. CN10 vagus
    sensation of posterior tongue, throat, gag reflex, swallow, and phonation
  13. CN11 acessory
    shoulder movement
  14. CN12 hypoglossal
    tongue movement
  15. what to look for during muscle inspection
    size, strength, tone, involuntary movement
  16. Romberg test
    tests balance, close eyes, watch for excessive swaying
  17. coordinated and skilled movement tests
    • rapid and alternation movement
    • finger to finger test
    • finger to nose test
    • heel to shin test
  18. what to look for when doing sensory system assessment
    pain, temperature, light touch, vibration, position, tactile discrimination
  19. stereognosis
    test by placing common object in hand
  20. graphesthesia
    trace # on pts hand and ask what is the #
  21. (DTR) deep tendon reflexes
    bicep, tricep, brachioradiallis, knee, achilles
  22. clonus
    jerking
  23. reinforcement
    technique to relax the muscles and enhance the reflex response
  24. grading reflexes
    • 4+ very brisk, hyperactive w clonus
    • 3+ brisker than average
    • 2+ average
    • 1+ diminished, low normal
    • 0 no response
  25. superficial reflexes
    abdominal, cremasteric (male) , plantar
  26. infant reflexes
    rooting, palmar grasp (must go away to pick things up within months), tonic neck, moro, babinski
  27. rooting
    infant: rub cheek and attaches
  28. tonic neck
    infant: head turned, leg and hand move out
  29. moro
    infant: baby splays open when big book drop next to him)
  30. babinski
    rub finger up bottom of foot, curls in
  31. what to check when doing neuro check
    • level of consciousness
    • motor function
    • pupillary response
    • vitals
    • glasgow coma scale
  32. cerebr-
    cerebrum
  33. encephal-
    brain
  34. mening-
    meninges
  35. myel-
    spinal cord
  36. neur-
    nerve
  37. phasia-
    speech
  38. esthesi-
    feeling
  39. -al
    pertaining to
  40. -itis
    inflammation
  41. -oma
    tumor
  42. -algia
    pain
  43. -cele
    hernia, protrusion
  44. CVA
    cerebral vascular accident
  45. CVD
    cerebrovascular disease

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