chapter 17 neurological emergencies

  1. what is the leading cause of adult disability
  2. code blue means the patient is
  3. code white means the patient is
    having a stroke
  4. seizures may occur as a result from
  5. seizures are the brains reaction to the
    underlying problem
  6. AEIOU-TIPS refers to a patient with _____ ____ status
    altered mental status
  7. the A in Aeiou-tips stands for:
  8. the E in aEiou-tips stands for:
  9. the I in aeIou-tips stands for:
  10. the O in aeiOu-tips stands for:
  11. the U in aeioU-tips stands for:
  12. the a in aeiou-Tips stands for:
  13. the I in aeiou-tIps stands for:
  14. the P in aeiou-tiPs stands for:
  15. the S in aeiou-tipS stands for:
  16. Anatomy and Physiology:

    breathing,blood pressure,swallowing and pupil constriction is controlled by what part of the brain
    brain stem
  17. Anatomy and Physiology:

    body coordination is controlled by what part of the brain
  18. Anatomy and Physiology:

    cerebellum is divided into how many hemispheres?
    • two hemispheres
    • left and right hemispheres
  19. Anatomy and Physiology:

    the left hemisphere of the cerebellum controls which side of the body
    right side
  20. Anatomy and Physiology:

    the right hemisphere of the cerebellum controls which side of the body
    left side of the body
  21. Anatomy and Physiology:

    what part of the brain controls emotions and thought
  22. Anatomy and Physiology:

    the middle part of the brain controls sensation and movement
  23. Anatomy and Physiology:

    back part of the brain processes
  24. Anatomy and Physiology:

    how many cranial nerves run directly from the brainto parts of the head
    12 cranials
  25. Headache:

    most headaches are serious medical problem
  26. Headache:

    inability to flex the the neck
    nuchal rigidity
  27. Headache:

    what are the 3 most common headaches
    tension,migraines,sinus headaches
  28. 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
  29. 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
  30. Headache:what kind of headache is this?
    -caused by pressure in the sinus cavities
    -cold like symptoms
    sinus headache
  31. Headache:
    suspect a stroke in patients with severe headache, seizures and _____ ____ status
    alter mental status
  32. cerebrovascular accident(CVA) is also known as a
  33. Stroke:

    an interruption of blood flow to an area within the brain that results in the loss of brain functions is called....
  34. Stroke:

    what are the two types of strokes?
    • ischemic
    • hemorrhagic
  35. Stroke:

    which stroke accounts for 80% of strokes?
  36. Stroke:
    which stroke results from a thormbosis or an embolus?
  37. Stroke:

    the build up of plague(calium and cholesterol)in a vessel is called
  38. Stroke:

    which stroke accounts for 13% of strokes
    hemorragic stroke
  39. Stroke:this type of stroke have these charateristics
    -bleeding in brain
    -often fatal
    -high blood pressure
    hemorragic stroke
  40. Stroke:
    bleeding in the brain, which forms a clot and begins to compress the brain is which type of stroke?
  41. Stroke:

    swelling or enlargement of the wall of an artery resulting from a defect or weakening of the arterial wall
  42. Stroke:

    symptoms of a hemorragic stroke maybe a sudden onset of a headache
  43. stroke:

    when stroke like symptoms go away on their own within 24hrs is called an
    transient ischemic attack
  44. transient ischemic attack:

    transient ischemic attack are also known as
    mini stroke
  45. transient ischemic attack:

    brain tissues die during a transient ischemic attack
  46. genetic disorder in which a vessel goes from artert to vein skipping all the small vessel.

    this disorder is called
    arteriovenous malformation
  47. a ____ ____ attack is a warning sign that a more serious stroke may occur in the future
    transient ischemic attack
  48. 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
  49. 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
  50. Conditions That May Mimic Stroke:

    hypoglyemia may mimic a stroke
  51. inability to produce or understand speech is called
  52. 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
  53. Conditions That May Mimic Stroke:

    a collection of blood near the skull that presses on the brain is called
    subdura/ epidural bleeding
  54. Seizures:

    a surge  of electrical activity in the brain
  55. Seizures:

    how many basic groups of seizures are there?
    • 2 groups
    • generalized
    • partial
  56. Seizures:

    generalized seizures are known as
  57. Seizures:

    what seizure characterized by unconsciousness, and severe twitching lasting several minutes
    generalized seizure
  58. 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
  59. Seizures:
    type of seizure that
    -has altered mental status
    -loss of LOC
    -lip smacking, blinking, isolated jerking
    -unpleasant smell,halluciations,fear
    complex seizures
  60. Seizures:

    generalized seizure can last ___ to __ mins
    3-5 mins
  61. Seizures:

    tachycardia, hyperventilation,sweating, intense salvation are symptoms of which seizure?
  62. Absence Seizure:

    how long does an absence seizure last
    few seconds
  63. what seizure is formally called petit mal?
    Absence Seizure
  64. a seizure that last longer than 30mins and never regains full consciousness(or goes in and out of postical state)
    Status Epilepticus
  65. sudden withdrawal from routine heavy alcohol or sedative drug use can cause seizures
  66. seizures:

    may turn cyanotic
  67. if you find a patient on the floor, and incontinence, you may suspect a ____
  68. seizures are often mistaken for a ____
  69. _____ ____ is stroke like symptoms after a seizure
    todd's paralysis
  70. 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
  71. stroke scales evaluate ___, ____ and ____
    face, arms and speech
  72. for stroke patients, to test speech, facial and arm movement you use which test?
    cincinnati stroke scale
  73. for stroke patients, to test for LOC, arm drift and gaze you would use what test?
    3 item stroke severity scale(LAG)
  74. during a syncope is there a postical state?
  75. is the "Fast" nmemonic:

    F stands for
    facial droop
  76. is the "fAst" nmemonic:

    A stands for
    arm drift
  77. is the "faSt" nmemonic:

    S stands for
  78. is the "fasT" nmemonic:

    T stands for
    time(when the patient last acted normally)
  79. patients with an altered mental status should get GCS evaluated
  80. what 4 treatments can you do for a seizure
    • -protect patient from harm
    • -maintain airway
    • -provide oxygen 94-99%
    • -consider C spine
  81. what 4 treatments do you perform for a status epilepticus patient
    • -maintain airway
    • -positive pressure ventilation
    • -transport
    • -als if needed
  82. treatment for migraines are
    • -apply oxygen if tolerated
    • -provide dark environment
    • -do not use lights and sirens
  83. treatments for a stroke are
    • -support ABCs
    • -transport
    • -maintain o2 levels of atleast 94%
    • -protect from harm
  84. treatments fo seizures are
    • -assess ABCs
    • -apply oxygen
    • -assess for trauma
    • -
  85. medical term for slurred speech
Card Set
chapter 17 neurological emergencies
emergency care and transportation of the sick and injured