With Complete Solutions
Abnormal posturing and bedside neurological checks on motor
function Correct Answer Decorticate, hands inward
Decerebrate, hands outward
Flaccid, totally limp
Assessed bilaterally and check for twitching, jerking and
stiffness
Acute seizure medications include Correct Answer
Benzodiazepines like diazepam, lorazepam
Alteplase Correct Answer Clot buster, breaks down thrombus
3 to 4.5 hours from last known neurological time
Weight based, 10% bolus and remainder infused over 1 hour
Side effect of bleeding with intracranial bleeding and can
develop into hemorrhagic stroke
Aura Correct Answer Sensation that warns the client of an
impending seizure
Bacterial meningitis positive lab Correct Answer Glucose <40
and elevated leukocytes and neutrophils
BE FAST Correct Answer Balance, eyes, face droop, arms
drifting down, speech slurred, time to call 911
Blood glucose management with stroke patient Correct Answer
Hyper/hypoglycemia can mimic stroke like symptoms
Bring down to 140 to 180
, Cerebellum Correct Answer Smooth and find muscle
movement. Posture and equilibrium. Alcohol affects cerebellum.
Field sobriety test
Cerebral Perfusion Pressure (CPP) Correct Answer CPP =
MAP - ICP
70-100 mmHg
CPP <50 = permanent neurological damage
cerebrospinal fluid (CSF) Correct Answer 100-200 mL, clear
and colorless
Chest pain of the brain Correct Answer TIA, transient
ischemic attack, resolved within 24 hours, warning for a stroke
Circle of Willis, COW Correct Answer Arterial blood supply
that provides collateral circulation originates from common
carotid artery
Clinical manifestations of encephalitis Correct Answer
Headache, fever, confusion, hallucinations, vectorborne rash,
Parkinson's like movements
Clinical manifestations of meningitis Correct Answer
Headache, fever, stiff neck, Koenigs sign, Brezinski sign,
photophobia, rash/non-blanching, seizures, IICP
Cushing's triad for late signs of IICP Correct Answer
Widening pulse pressure
Systolic hypertension