228 Test Neuro

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Author:
mangoboba
ID:
43482
Filename:
228 Test Neuro
Updated:
2010-10-19 18:50:04
Tags:
health assessment
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228 test neuro
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  1. CVA risk factors
    • males > 55 years of age
    • african american
    • hypertension (>120 systolic)
    • diabetes mellitus
    • family history
  2. Risk Redux Tips: CVA
    • monitor BP
    • lower alcohol intake
    • monitor blood sugar
    • avoid street drugs
    • monitor diet
    • regular check ups
  3. Warning signs of CVA
    • sudden:
    • -numbness (face, arms, legs, esp on 1 side)
    • -confusion, vision problems, trouble walking or loss of balance & coordination
    • -severe headaches w/ no known cause
    • you can tell where a stroke was by which cranial nerves were affected (memorize!)
  4. "Quick Neuro Check"
    • LOC (AAOx3-4)--people, place, time, situation
    • pupillary checks
    • movement/strength of extremities
    • vital signs
  5. Glasgow Coma Scale
    • assesses LOC
    • Best 15/15, worst 3/15
    • Eye opening response 4-1; verbal response 5-1; motor response 6-1
    • GCS < 10 needs emergency attention
  6. Decorticate/flexion posture
    • flexion of arms, clenched fists, extended legs; arms bent in towards body
    • caused by increased pressure on corticospinal tract
  7. Decerebrate/extension posture:
    • arms/legs straight out, toes down, head & neck backwards
    • cause is normally severe injury/pressure to brainstem
  8. reflex hammer ranges
    • 1+-3+ = normal
    • 4+ = hyperreflexia

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