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austin’s test!! > killin this test > Flashcards

killin this test Flashcards

1
Q

integrating and processing visual info

A

occipital lobe

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2
Q

language, processing auditory info, memory, learning

A

temporal lobe

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3
Q

sensations, recognizing objects, spatial judgement, time

A

parietal lobe

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4
Q

social skills, problem solving, planning/reasoning

A

frontal lobe

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5
Q

balance and coordination

A

cerebellum

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6
Q

what does the brain stem do

A

regulates breathing, body temp, heart activity

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7
Q

what are modifiable risk factors

A

Anything you can change.

weight loss, dietary, exercise… which then can control bp and blood glucose

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8
Q

nonmodifiable

A

anything you CANNOT change you are born with.

age, activity level, sedentary lifestyle, ethnicity, male female

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9
Q

ethnic group more at risk for HTN and diabetes

A

african americans

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10
Q

know your

A

cranial nerves!!

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11
Q

LOC most sensitive indicator

A

neuro status

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12
Q

brief response with peripheral stimulation

A

obtunded; pen to nail bed

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13
Q

complete awareness

A

conscious

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14
Q

opens eyes to verbal and peripheral stimulation but falls asleep when stimulation ceases

A

lethargic

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15
Q

difficult to stimulate; requires peripheral or central stimulation

A

stuporous; sternocleidomastoid pinch FIRST, STERNAL RUB

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16
Q

glasgow coma scale what is the best number and when do you intubate

A

15 best

less than 8= intubate

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17
Q

dilated pupils

A

cn 3 is compressed; PERRLA

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18
Q

pinpoint pupils

A

pons damaged or drugs

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19
Q

corneal reflex

A

used for patients that are unresponsive

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20
Q

cough and gag reflex

A

tongue blade to back of throat=gag

illicit gag reflex

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21
Q

babinski

A

positive- toes flare outward (BAD)

negative- toes curl (GOOD)

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22
Q

romberg test

A

identifies sensory ataxia, balance and coordination issues, or abnormal proprioception
damage to the cerebellum if not good

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23
Q

vestibulo-ocular reflex

A

doll eyes
positive is good- eyes stay with you without head movement
negative is bad- eyes move and stay with movement of head

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24
Q

decorticate

A

to the core

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25
Q

decerebrate

A

arms are straight with wrists extended

26
Q

flaccid

A

no muscle tone or movement

27
Q

mannitol

A

osmostic diuretic that pulls fluid off of the brain, reduces ICP
NI: strict i and o, monitor fluids and electrolytes, monitor serum os

28
Q

hypertonic saline

A 
3%
decreases cerebral edema 
given to central venous cath 
s/e: HYPERnatremia adn thirst 
monitor sodium, kidney, neuro changes, urinary output
29
Q

how to find out cerebral perfusion pressure

A

MAP - ICP = CPP

30
Q

MAP

A

(SBP + 2DBP)/3

31
Q

what should CPP be

A

greater than 70

32
Q

cortico/glucocoticoids end in

A

sone

33
Q

used to treat inflammation and edema

A

steroids

34
Q

why do you want to taper steroids

A

due to adrenal insufficiency. gives adrenal glands time to wake back up and secrete the natural steroid in our body

35
Q

hyperglycemia, thin skin, adrenal insufficiency, elevated wbc, increased risk of infection, osteoporosis, stress ulcers

A

signs and symptoms of steroids

36
Q

phenytoin what is it and what should you know about it (education)

A

seizures

steven johnson sydrome, gingival hyperplasia (teach patients to brush teeth)

37
Q

phenytoin levels

A

7.5-20

38
Q

normal icp

A

10-15

39
Q

FAST what does it mean and what is it used for

A

Face drooping
Arms raised.. or any extremity could be affected
Speech slurred
Time to call 911

40
Q

romberg test

A

clinical dx maneuver to identify sensory ataxia, balance, and coordination issues. if test failed=damage to cerebellum

41
Q

vestibulo-ocular reflex

A

“dolls eyes”; (+) reflex is good, (-) is bad. when positive eyes are able to stay with you with head movement.

42
Q

posturing

A

indicated damage to the brain stem

43
Q

Decordicate

A

arms are flexed to the core

44
Q

Decerebrate

A

arms are extended straight with wrists extended.

45
Q

flaccid

A

no muscle tone or movement

46
Q

TPN

A

total parenteral nutrition: goes through central line

47
Q

PPN

A

peripheral parenteral nutrition: not as concentrated and can be given through a peripheral IV

48
Q

Tube Feeding

A

provides more nutrition than TPN/PPN, typically used in conjunction with one of the others

49
Q

OG/NG feeding

A

confirm placement before use with PH test

50
Q

swallow study

A

stroke or patients with head injury are NPO until nurse or speech therapy can preform

51
Q

nurse bed side swallow study

A

pass = can feed the patient; fail = refer to speech therapy

52
Q

communication

A

use communication board, always have pen and clipboard available, do not use family as interpreter.

53
Q

who can feed stroke patients in the acute phase

A

RN only, no LPN or UAP

54
Q

mannitol

A

osmotic diuretic that pulls fluid off the brain, watch for dizziness, HA, rebound ICP, seizures, and use new filter with each bag

55
Q

hypertonic saline 3%

A

used to decrease cerebral edema, give through central venous catheter, watch for increased thirst and hyperNa, limit water intake

56
Q

Cortico/Glucocorticoids

A

used to tx vasogenic edema surrounding tumors, abscesses, and reduce inflammation w/ spinal cord injury, not for head injuries,

57
Q

Phenytoin (Dilantin)

A

prophylactic against seizures. test for pregnancy first, serum level 7.5-20, dilute with NS, watch for SJS and ataxia

58
Q

barbituates

A

s/e: drowsiness, sedation, depression, avoid activities that require attention, they decreases warfarins effectiveness

59
Q

CPP

A

MAP - ICP = CPP (SBP + 2DBP / 3 = MAP) want >70

60
Q

ICP

A

normal 10 - 15, increase primarily caused by increased tissue like tumors, infections, edema; excess blood; excess CSF

61
Q

uncal herniation

A

herniation of brainstem ( unilateral pupil fixed/dilated)

62
Q

Cushing Triad

A

Increased SBP with widening pulse pressure, bradycardia with bounding pulse, and irregular respirations.

austin’s test!! (2 decks)

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