Neurologic Emergencies Flashcards Preview

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Flashcards in Neurologic Emergencies Deck (19):
1

What does the each hemisphere of the cerebrum control?

The opposite (contralateral) side of the body and same (ipsilateral) side of face

2

What is a cerebrovascular accident (CVA)?

Interruption of blood flow to the brain

3

What is a stroke?

Loss of brain function that results from a CVA

4

What is "the worst headache of my life" a sign of?

An aneurysm

Walls of arteries are weakened and rupture

5

What is a transient ischemic attack (TIA)?

When the normal processes of the brain destroy a blood clot and blood flow is restored to affected area. Stroke symptoms spontaneously go away within 24 hours

6

What is an absence seizure?

Characterized by having a blank stare and doesn't respond to anyone briefly

Also called petit mal seizure

7

What is the tonic phase of a seizure?

Continuous muscle contraction

"Tenses up"

8

What is the clonic phase of a seizure?

Contractions and relaxations

9

What is status epilepticus? (2)

Seizures that are prolonged more than 10 mins
Two generalized seizures without a return of consciousness

10

What pertinent history should you gather with a patient having a seizure? (FACTS)

Focus (generalized/focal)
Activity (type of movement)
Color/cocaine
Time (length of seizure)
Secondary info (meds/events up to/incontinence/ tongue biting)

11

What three meds can me used to control epilepsy?

Dilantin (phenytoin)
Solfoton (phenobarbital)
Tegretol (carbamazepine)

12

What is hemiparesis?

Weakness in one side of the body

13

What will left hemisphere problems cause?

Aphasia (inability to speak)

14

What will right hemisphere problems cause?

Dysarthria (slurred speech)

15

What is receptive aphasia?

Can't understand but can speak clearly

16

What is expressive aphasia?

Can understand questions but can't speak clearly

17

What is the eye opening scale for Glasgow coma scale?

4 spontaneous
3 response to speech
2 response to pain
1 none

18

What is the verbal scale for Glasgow coma scale?

5 oriented conversation
4 confused conversation
3 inappropriate words
2 incomprehensible sounds
1 none

19

What is the motor scale for Glasgow coma scale?

6 obeys command
5 localizes pain
4 withdraws from pain
3 abnormal flexion
2 abnormal extension
1 none