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7 Cards in this Set
- Front
- Back
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What are the 4 neurological emergencies?
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*Convulsive Status Epilepticus
*Cord compression *Acute bacterial meningitis *Increased intracranial press. |
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what labs should be ordered if convulsive status epilepticus is suspected?
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fingerstick glucose,CBC, electrolytes, AED levels
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What is the rx for convulsive status epilepticus?
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*ABCs
*oxygen - 4LNC *pulse ox - > 92% consider intubation *IV access *Ativan (.1mg/kg) or Valium (.25mg/kg) IV over 10 minutes *Phenytoin or Phosphenytoin (20mg/kg) IV at a max rate of 50mg/min *consider elective intubation *Phenobarbital (20mg/kg) IV at a max rate of 100mg/min *transfer to ICU for central line and phenobarb drip |
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What are the causes of cord compression?
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*trauma
*cancer |
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What are symptoms of cord compression?
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Back pain +/- fever, leg weakness or numbness
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Describe the physical exam during cord compression.
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*reflexes usually increased, but may be decreased acutely (spinal shock)
*toes ussually up-going or silent, rarely down-going *tone usually increased but may be decreased acutely (spinal shock) *pyramidal weakness in the legs or all 4 limbs) *pin level *Reduced anal wink *absent superficial abdominal reflexes |
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What test should be ordered if spinal cord compression is suspected?
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*plain films of the spine
*MRI of C and T spine *Myelography (LP w/ radio-opaque die injected) |
