Neuro Health Assessment

Front 1

1st change seen when neuro status compromised

Back 1

change in level of consciousness

Front 2

LOC level of consciousness

Back 2

measurement of a person's arousability and responsiveness to stimuli from the environment

Front 3

Change in LOC may indicate...

Back 3

CNS pathology, cerebral ischemia, increased intracranial pressure (ICP)

Front 4

List 6 LOC

Back 4

full, confusion, lethargy, obtundation, stupor, coma

Front 5

confusion

Back 5

disoriented to time, place, or person

Front 6

lethargy

Back 6

oriented x 3 but sluggish speech, slowed mental process, or motor abilities

Front 7

obtudation

Back 7

less than full mental capacity, arousable with stimulation, respond with 1-2 words, follow simple commands

Front 8

stupor

Back 8

minimal spontaneous movement, unresponsive except to vigorous stimulation, respond with eye opening and incomprehensible sound

Front 9

coma

Back 9

sleeplike state with eyes closed, no verbal response

Front 10

GCS define and range

Back 10

objective assessment of LOC in acute and critical care (3-15)

Front 11

GCS Motor Scale range

Back 11

6-1

Front 12

GCS motor 6 =

Back 12

can obey simple commands

Front 13

GCS Motor 5=

Back 13

localizes to painful stimuli (pushes stimuli away or says oww)

Front 14

GCS Motor 4

Back 14

Flexion/ withdraws to painful stimuli (no antigravity)

Front 15

GCS Motor 3

Back 15

Decortication (come to core, abnormal posture)

Front 16

GCS Motor 2

Back 16

Decerberation (arms straight, extend to side) (sign of impending death)

Front 17

GCS 1

Back 17

no response

Front 18

GCS eye range

Back 18

4-1

Front 19

GCS eye scale meaning

Back 19

4 spontaneously, 3 to speech, 2 to pain, 1 no open

Front 20

GCS Verbal Scale

Back 20

5-1

Front 21

GCS Verbal Scale meaning

Back 21

5 oriented conversant, 4 confused disoriented conversant, 3 inappropriate disorganized words, 2 incomprehensible words or sounds, 1 no response

Front 22

GCS score if: spontaneous eye opening, confused conversant, localizes to pain

Back 22

13 good prognosis

Front 23

GCS 13-15

Back 23

mild brain injury

Front 24

GCS 9-12

Back 24

Moderate brain injury

Front 25

GCS 3-8

Back 25

Sever brain injury poor prognosis

Front 26

Cranial Nerve Names 1-12

Back 26

OOO TTAF A GV SH:ohh ohh ohh to touch and feel a girls very soft hands

olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acustic (vestibulocholear), glossopharyngeal, vagus, spinal accessory, hypoglossal

Front 27

CN I

Back 27

Smell

Front 28

CN II

Back 28

Vision

Front 29

CN III

Back 29

pupil constriction

Front 30

CN III, IV, VI

Back 30

ROM for eyes, pupil constriciton

Front 31

CN V

Back 31

facial sensation

Front 32

CN VII

Back 32

Facial movement, taste

Front 33

CN VIII

Back 33

hearing

Front 34

CN IX, X

Back 34

gag, cough, swallow

Front 35

CN XI

Back 35

shoulder shurg

Front 36

CNXII

Back 36

tongue movements

Front 37

saying for motor, sensory or both of Cranial Nerves

Back 37

SSMMBMBSBBMM, some say mary money but my brother says big business makes money

Front 38

anosmia

Back 38

loss of sense of smell

Front 39

papilledema

Back 39

swelling of optic nerve at optic disc, prolonged can lead to permanent blindness

Front 40

accommodation

Back 40

constriction of pupils and convergence

Front 41

dysconjugate gaze

Back 41

failure of eyes to turn together in the same direction

Front 42

Motor scale range interpretation

Back 42

5 full resistance, 4 some resistance, 3 gravity, 2 gravity eliminated, 1 barely detectable, 0 no movement

Front 43

positive pronator drift indicates

Back 43

blood on opposite side of head as drift

Front 44

graphesthesia

Back 44

inability to feel writing on the skin

Front 45

stereognosis

Back 45

inability to perceive size and shape of easily recognizable objects

Front 46

Intention tremor

Back 46

worsens with movement

Front 47

dysmetria

Back 47

lack of coordination of movement

Front 48

normal deep tendon grade

Back 48

2+

Front 49

deep tendon grade of 5+ indicates

Back 49

hyperreflexia with clonus (repeated rhythmic contractions)

Front 50

ophthalmoplegia

Back 50

paralysis/weakness of eye muscles

Front 51

nystagmus

Back 51

rapid uncontrolled side to side eye movements

Front 52

Is CN VIII Sensory, Motor or both

Back 52

Sensory

Front 53

What is the function of CN V

Back 53

trigeminal, both, sensation to face movement of jaw, also corneal reflex (blinking)

Front 54

corneal reflex

Back 54

blinking CN V trigeminal

Front 55

What is function of CN VII

Back 55

facial, both, facial movement and taste

Front 56

Reflex associated with CN IX

Back 56

glossopharengeal, both swallowing refles

Front 57

intracranial pressure s/s

Back 57

change in pupil size, shape, reactivity

Front 58

Motor scale range

Back 58

5-0