headache red flags
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, must do a full symptom analysis on headaches.
- new headache onset
- nausea, vomiting
- worst headache ever
- progressive visual or neurological changes
- paralysis
- weakness, ataxia, loss of coordination
- drowsiness, confusion, memory impairment, LOC
- after age 50
- papilledema (optic nerve swelling)
- stiff neck
- onset w exertion, coughing
- systemic illness
- numbess
- asymmetric pupil responses
- sensory loss
- signs of meningeal irritation
glaucoma
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increased intraocular pressure. people over 45 should be screened for it,
but africans should start screening at 35
stereognosis
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ability to recognize objects by feeling their form, size, and weight while the
eyes are closed
,intracranial lesions
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if there's a lesion on a cranial nerve, the affected part of the face will be on
the same side as the nerve. if the lesion is on a tract in the cerebral cortex,
then the opposite side of the face will be affected.
vibration test
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place vibrating tuning fork on finger joints
normal vital signs
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newborn - HR: 70-190. Resp: 30-40. BP: 73/55
child - HR: 70-115. Resp: 20-26. BP: 95/57
adult - HR: 60-100. Resp: 12-20. BP: <120/80
point to point test
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, tests cerebellar fine motor coordination. move your finger, have pt touch
their nose and then touch your finger
nursing diagnosis
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educated judgements about potential or actual health problems. clearly
identifies a health related problem and connects it to specific data in the
health assessment. determines the focus of care in the next phases of the
nursing process
cranial nerve IX
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B-G. glossopharyngeal. throat muscles, sensations of posterior tongue,
tonsils, pharynx. use tongue blade, say ah, test gag reflex and see soft
palate and uvula rise
hypertropia
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strabismus where one eye is higher than the other
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, must do a full symptom analysis on headaches.
- new headache onset
- nausea, vomiting
- worst headache ever
- progressive visual or neurological changes
- paralysis
- weakness, ataxia, loss of coordination
- drowsiness, confusion, memory impairment, LOC
- after age 50
- papilledema (optic nerve swelling)
- stiff neck
- onset w exertion, coughing
- systemic illness
- numbess
- asymmetric pupil responses
- sensory loss
- signs of meningeal irritation
glaucoma
Give this one a try later!
increased intraocular pressure. people over 45 should be screened for it,
but africans should start screening at 35
stereognosis
Give this one a try later!
ability to recognize objects by feeling their form, size, and weight while the
eyes are closed
,intracranial lesions
Give this one a try later!
if there's a lesion on a cranial nerve, the affected part of the face will be on
the same side as the nerve. if the lesion is on a tract in the cerebral cortex,
then the opposite side of the face will be affected.
vibration test
Give this one a try later!
place vibrating tuning fork on finger joints
normal vital signs
Give this one a try later!
newborn - HR: 70-190. Resp: 30-40. BP: 73/55
child - HR: 70-115. Resp: 20-26. BP: 95/57
adult - HR: 60-100. Resp: 12-20. BP: <120/80
point to point test
Give this one a try later!
, tests cerebellar fine motor coordination. move your finger, have pt touch
their nose and then touch your finger
nursing diagnosis
Give this one a try later!
educated judgements about potential or actual health problems. clearly
identifies a health related problem and connects it to specific data in the
health assessment. determines the focus of care in the next phases of the
nursing process
cranial nerve IX
Give this one a try later!
B-G. glossopharyngeal. throat muscles, sensations of posterior tongue,
tonsils, pharynx. use tongue blade, say ah, test gag reflex and see soft
palate and uvula rise
hypertropia
Give this one a try later!
strabismus where one eye is higher than the other
