NURS 401 Exam 3 Critical Neuro Exam full solution packxam Questions and Answers 2024

8 core measures for ischemic stroke care - venous thromboembolism prophylaxis, antithrombotic therapy, anticoagulation therapy for afib/flutter, thrombolytic therapy (for thrombotic stroke of <4hrs from symptom onset), discharge on statin meds, stroke education, assess for rehab A loss of consciousness from an epidural or subdural hematoma - is a neurosurgical emergency A right hemiplegia (paralysis) or hemiparesis (weakness), indicates a stroke involving which cerebral hemisphere? - left A score of <10 on the glasgow coma scale means - severe dysfunction A score of <8 on the glasgow coma scale means - we intubate A score of 11-13 on the glasgow coma scale means - moderate to severe dysfunction A score of 14/15 on the glasgow coma scale means - mild dysfunction ABG - goal is to prevent hypoxia, maintain a PaO2 above 60% is crucial to prevent secondary injury Abnormal Head CT findings that don't require neurosurgery consult - Non depressed linear skull fracture Solitary cerebral contusions < 10mm Multiple cerebral contusions < 5mm Subarachnoid blood < 4mm Isolated pneumocephalus Subdural hematoma < 4mmAcquired Hypoxic-Anoxic brain injury - brain damage caused by reduced or absent cerebral perfusion, caused by cardiac arrest, asphyxiation, drowning, drug use and overdose, accidental electrocution, and severe asthma, dx with MRI, therapeutic hypothermia when anoxia is related to a witnessed cardiac arrest Acute subdural hematoma - develops within 48 hours of injury