Basic Neurological Assessment + Neurovascular
Basic Neurological Assessment + Neurovascular
Study online at https://quizlet.com/_2frhgz
1. Neurological As- - Part of comprehensive exam OR
sessment can - Problem oriented exam for new chief complaint
be...
2. How to stay orga- - Health History- Subjective (first- this can include with ight nurse says and what
nized- family says)
- Physical Assessment- Objective
: general: metal status, LOC, behavior, language, intellect
:sensory
:motor
3. The Neurological - Is so broad that it is responsible for many functions: initiation and coordination of
System In gener- movement, reception and perception of sensory stimuli, organization of thought
al processes, control of speech, storage of memory
- Full assessment requires time and attention to detail
- Many variables must be considered during evaluation- LOC, physical status, chief
complaint
- Collect all equipment from beginning
4. Full List of every- - Reading materials
thing you need - Vials containing aromatic substances (vanilla extract and coffee)
for complete ex- - Opposite top of cotton swab or tongue blade broken in half
amination - Snellen eye chart
- Penlight
- Vials containing sugar, salt, lemon with applicators
- Tongue blade
- Two test tubes- one hot water one cold water
- Cotton balls or cotton-tipped applicators
- Turning fork
- Reflex hammer
5.
Page 1
, Basic Neurological Assessment + Neurovascular
Basic Neurological Assessment + Neurovascular
Study online at https://quizlet.com/_2frhgz
Neurological Sys- Inquire about common or concerning symptoms
tem- Health His- - Headache
tory - Dizziness or vertigo
- Generalized, proximal, or distal weakness
- Numbness, abnormal or lost sensation
- Loss of consciousness, syncope, or near-syncope
- seizures
-tremors or involuntary movements
- Conus- when muscles tighten up
6. First Step in Neu- Mental Status!
rological System - Mental and emotional status with:
Physical Exam - Mini-Mental State Examination (MMSE)
- Cultural considerations - can affect answers to questions
- Delirium
7. Delirium - An acute mental disorder that occurs among hospitalized patients
- obtain a thorough history of a patients behavior before delirium develops so can
recognize the condition early - fam members are a good resource
- Among older adults it most often occurs within first 48-72 hours of admission
- Acute medical condition characterized by confusion, disorientation, restlessness
- sign of impeding physical illness
(vs. dementia- a more progressive, organic mental disorder)
- can be reversed when treated with underlying cause
8. Patients with "sundown syndrome"- because delirium frequently worsens at night
delirium are la- - children are vulnerable to delirium from infection, drugs, serious trauma, autoim-
beled with mune disorders, general anesthesia and after transplant
9. MMSE - Orientation to time: "What is the date?" (place, situation?)
- Registration: "Listen carefully. I am going to say 3 words, say them back after I
stop. Ready, here they are: House, Car, Lake. Now repeat those back". (then repeat
a few minutes later)
Page 2
Basic Neurological Assessment + Neurovascular
Study online at https://quizlet.com/_2frhgz
1. Neurological As- - Part of comprehensive exam OR
sessment can - Problem oriented exam for new chief complaint
be...
2. How to stay orga- - Health History- Subjective (first- this can include with ight nurse says and what
nized- family says)
- Physical Assessment- Objective
: general: metal status, LOC, behavior, language, intellect
:sensory
:motor
3. The Neurological - Is so broad that it is responsible for many functions: initiation and coordination of
System In gener- movement, reception and perception of sensory stimuli, organization of thought
al processes, control of speech, storage of memory
- Full assessment requires time and attention to detail
- Many variables must be considered during evaluation- LOC, physical status, chief
complaint
- Collect all equipment from beginning
4. Full List of every- - Reading materials
thing you need - Vials containing aromatic substances (vanilla extract and coffee)
for complete ex- - Opposite top of cotton swab or tongue blade broken in half
amination - Snellen eye chart
- Penlight
- Vials containing sugar, salt, lemon with applicators
- Tongue blade
- Two test tubes- one hot water one cold water
- Cotton balls or cotton-tipped applicators
- Turning fork
- Reflex hammer
5.
Page 1
, Basic Neurological Assessment + Neurovascular
Basic Neurological Assessment + Neurovascular
Study online at https://quizlet.com/_2frhgz
Neurological Sys- Inquire about common or concerning symptoms
tem- Health His- - Headache
tory - Dizziness or vertigo
- Generalized, proximal, or distal weakness
- Numbness, abnormal or lost sensation
- Loss of consciousness, syncope, or near-syncope
- seizures
-tremors or involuntary movements
- Conus- when muscles tighten up
6. First Step in Neu- Mental Status!
rological System - Mental and emotional status with:
Physical Exam - Mini-Mental State Examination (MMSE)
- Cultural considerations - can affect answers to questions
- Delirium
7. Delirium - An acute mental disorder that occurs among hospitalized patients
- obtain a thorough history of a patients behavior before delirium develops so can
recognize the condition early - fam members are a good resource
- Among older adults it most often occurs within first 48-72 hours of admission
- Acute medical condition characterized by confusion, disorientation, restlessness
- sign of impeding physical illness
(vs. dementia- a more progressive, organic mental disorder)
- can be reversed when treated with underlying cause
8. Patients with "sundown syndrome"- because delirium frequently worsens at night
delirium are la- - children are vulnerable to delirium from infection, drugs, serious trauma, autoim-
beled with mune disorders, general anesthesia and after transplant
9. MMSE - Orientation to time: "What is the date?" (place, situation?)
- Registration: "Listen carefully. I am going to say 3 words, say them back after I
stop. Ready, here they are: House, Car, Lake. Now repeat those back". (then repeat
a few minutes later)
Page 2
