AEIOU-TIPS refers to a patient with _____ ____ status
altered mental status
the A in Aeiou-tips stands for:
alcohol
the E in aEiou-tips stands for:
epilepsy
the I in aeIou-tips stands for:
insulin
the O in aeiOu-tips stands for:
overdose
the U in aeioU-tips stands for:
Uremia
the a in aeiou-Tips stands for:
trauma
the I in aeiou-tIps stands for:
infection
the P in aeiou-tiPs stands for:
poisoning
the S in aeiou-tipS stands for:
stroke
Anatomy and Physiology:
breathing,blood pressure,swallowing and pupil constriction is controlled by what part of the brain
brain stem
Anatomy and Physiology:
body coordination is controlled by what part of the brain
cerebellum
Anatomy and Physiology:
cerebellum is divided into how many hemispheres?
two hemispheres
left and right hemispheres
Anatomy and Physiology:
the left hemisphere of the cerebellum controls which side of the body
right side
Anatomy and Physiology:
the right hemisphere of the cerebellum controls which side of the body
left side of the body
Anatomy and Physiology:
what part of the brain controls emotions and thought
front
Anatomy and Physiology:
the middle part of the brain controls sensation and movement
true/false
true
Anatomy and Physiology:
back part of the brain processes
sight
Anatomy and Physiology:
how many cranial nerves run directly from the brainto parts of the head
12 cranials
Headache:
most headaches are serious medical problem
true/false
false
Headache:
inability to flex the the neck
nuchal rigidity
Headache:
what are the 3 most common headaches
tension,migraines,sinus headaches
Headache:which type of headache is this?
-caused by muscle contractions in head and neck
-attributed to stress
-described as squeezing,dull
-doesnt require medical attention
tension
Headache:what kind of headache is this?
-described as pounding,throbbing,pulsating
-often associated with nausea and vomiting
-can last several hours
-women are more likely to get them than men
migraine
Headache:what kind of headache is this?
-caused by pressure in the sinus cavities
-cold like symptoms
sinus headache
Headache:
suspect a stroke in patients with severe headache, seizures and _____ ____ status
alter mental status
cerebrovascular accident(CVA) is also known as a
stroke
Stroke:
an interruption of blood flow to an area within the brain that results in the loss of brain functions is called....
stroke
Stroke:
what are the two types of strokes?
ischemic
hemorrhagic
Stroke:
which stroke accounts for 80% of strokes?
ischemic
Stroke:
which stroke results from a thormbosis or an embolus?
ischemic
Stroke:
the build up of plague(calium and cholesterol)in a vessel is called
atherosclerosis
Stroke:
which stroke accounts for 13% of strokes
hemorragic stroke
Stroke:this type of stroke have these charateristics
-bleeding in brain
-often fatal
-high blood pressure
hemorragic stroke
Stroke:
bleeding in the brain, which forms a clot and begins to compress the brain is which type of stroke?
hemorragic
Stroke:
swelling or enlargement of the wall of an artery resulting from a defect or weakening of the arterial wall
aneurysm
Stroke:
symptoms of a hemorragic stroke maybe a sudden onset of a headache
true/false
true
stroke:
when stroke like symptoms go away on their own within 24hrs is called an
transient ischemic attack
transient ischemic attack:
transient ischemic attack are also known as
mini stroke
transient ischemic attack:
brain tissues die during a transient ischemic attack
true/false
false
genetic disorder in which a vessel goes from artert to vein skipping all the small vessel.
this disorder is called
arteriovenous malformation
a ____ ____ attack is a warning sign that a more serious stroke may occur in the future
transient ischemic attack
stroke:
a stroke in the ___ hemisphere causes these symptoms
-aphasia=inability to produce or understand speech
-paralysis in the right side of body
left hemisphere
stoke:
a stroke in the ___ hemisphere causes these symptoms
-understand speech, but words are slurred
-patient may be oblivious to their problem
-neglect or lack of pain
right hemisphere
Conditions That May Mimic Stroke:
hypoglyemia may mimic a stroke
true/false
true
inability to produce or understand speech is called
aphasia
Conditions That May Mimic Stroke:
what is this condition?
-period following a seizure tha last 5-30mins
-labored breathing
-some degree of altered mental status
postictal state
Conditions That May Mimic Stroke:
a collection of blood near the skull that presses on the brain is called
subdura/ epidural bleeding
Seizures:
a surge of electrical activity in the brain
seizure
Seizures:
how many basic groups of seizures are there?
2 groups
generalized
partial
Seizures:
generalized seizures are known as
tonic-clonic
Seizures:
what seizure characterized by unconsciousness, and severe twitching lasting several minutes
generalized seizure
Seizures:
type of seizure that
-no loss of LOC
-may have numbness,weakness,dizziness, visual changes, unusual smells or taste
-may twitch or paralysis
simple partial
Seizures:
type of seizure that
-has altered mental status
-loss of LOC
-lip smacking, blinking, isolated jerking
-unpleasant smell,halluciations,fear
complex seizures
Seizures:
generalized seizure can last ___ to __ mins
3-5 mins
Seizures:
tachycardia, hyperventilation,sweating, intense salvation are symptoms of which seizure?
generalized
Absence Seizure:
how long does an absence seizure last
few seconds
what seizure is formally called petit mal?
Absence Seizure
a seizure that last longer than 30mins and never regains full consciousness(or goes in and out of postical state)
Status Epilepticus
sudden withdrawal from routine heavy alcohol or sedative drug use can cause seizures
true/false
true
seizures:
may turn cyanotic
true/false
true
if you find a patient on the floor, and incontinence, you may suspect a ____
seizure
seizures are often mistaken for a ____
syncope
_____ ____ is stroke like symptoms after a seizure
todd's paralysis
these are charateristics of ____
-a symptom, not a disease
-presents as a new complaint
-temporary state that may have physical or mental causes
-reversable with treatment
-may mimic intoxication
dilirium
stroke scales evaluate ___, ____ and ____
face, arms and speech
for stroke patients, to test speech, facial and arm movement you use which test?
cincinnati stroke scale
for stroke patients, to test for LOC, arm drift and gaze you would use what test?
3 item stroke severity scale(LAG)
during a syncope is there a postical state?
yes/no
no
is the "Fast" nmemonic:
F stands for
facial droop
is the "fAst" nmemonic:
A stands for
arm drift
is the "faSt" nmemonic:
S stands for
speech
is the "fasT" nmemonic:
T stands for
time(when the patient last acted normally)
patients with an altered mental status should get GCS evaluated
true/false
true
what 4 treatments can you do for a seizure
-protect patient from harm
-maintain airway
-provide oxygen 94-99%
-consider C spine
what 4 treatments do you perform for a status epilepticus patient