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Neurological Assessment and Traumatic Brain Injury Management

Test your knowledge on assessing consciousness levels, managing traumatic brain injuries, and understanding cardiac output and intracranial pressure.

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Questions and Answers

Which artery is critical and often referred to as the 'widow-maker' if blocked?

Left Anterior Descending (LAD) Artery

What is the gold standard biomarker that indicates heart muscle damage?

Troponin

What is the recommended administration process for aspirin in the case of myocardial infarction?

Chew 2 tablets

What is the purpose of tPA (tissue plasminogen activator) in ischemic stroke?

<p>Dissolves clot</p> Signup and view all the answers

Which of the following is a modifiable risk factor for stroke?

<p>$Hypertension$</p> Signup and view all the answers

What is the acronym used to recognize and respond to stroke symptoms?

<p>$FAST$ (Face, Arms, Speech, Time)</p> Signup and view all the answers

What type of chest pain may be associated with a heart attack and increased demand for oxygen?

<p>Unstable Angina</p> Signup and view all the answers

What characterizes respiratory acidosis?

<p>High CO$_2$ and low pH</p> Signup and view all the answers

How is metabolic alkalosis defined?

<p>High HCO$_3$ and high pH</p> Signup and view all the answers

What is the cause of pulmonary embolism?

<p>Obstruction of a pulmonary artery branch</p> Signup and view all the answers

How is pleural effusion diagnosed?

<p>X-ray or CT scan</p> Signup and view all the answers

What causes hemothorax?

<p>Rapid blood accumulation in the pleural space</p> Signup and view all the answers

Which oxygen therapy method is used for acute hypoxia?

<p>Heated high-flow nasal cannula</p> Signup and view all the answers

What are common acute conditions influencing pediatric respiratory distress?

<p>Foreign body aspiration, croup, RSV infection, pneumonia</p> Signup and view all the answers

What does the pediatric assessment triangle assess?

<p>Appearance, work of breathing, circulation</p> Signup and view all the answers

How are central venous access lines (CVADs) classified?

<p>Non-tunneled CVADs, skin-tunneled CVADs, implanted subcutaneous ports, PICCs</p> Signup and view all the answers

What are the components of the cardiac conduction system?

<p>SA node, Bachmann’s bundle, AV node, bundle of His, and Perkinje fibers</p> Signup and view all the answers

Which ECG monitoring tool is used for long-term monitoring?

<p>Holter monitor</p> Signup and view all the answers

What does ECG interpretation involve?

<p>P-wave, P-R interval, QRS complex, and criteria for normal rhythms</p> Signup and view all the answers

What are the potential complications of pacemakers?

<p>Failure to capture or sense</p> Signup and view all the answers

What are the emergency rhythms that may require CPR and defibrillation?

<p>Ventricular fibrillation</p> Signup and view all the answers

Which cardiac rhythm may be normal in trained athletes or during sleep?

<p>Sinus bradycardia</p> Signup and view all the answers

What can atrial fibrillation lead to?

<p>Decreased cardiac output, thrombus formation, and stroke risk.</p> Signup and view all the answers

What is an emergency rhythm that can be associated with myocardial infarction or electrolyte imbalance?

<p>Ventricular tachycardia</p> Signup and view all the answers

What type of medications are used for atrial fibrillation?

<p>Rate and rhythm controlling medications.</p> Signup and view all the answers

What is a potential treatment for sinus bradycardia?

<p>Atropine or a pacemaker.</p> Signup and view all the answers

What type of stroke management involves different types of strokes and symptoms?

<p>Acute stroke management.</p> Signup and view all the answers

What are the consequences of inadequate health literacy?

<p>Increased healthcare costs and poor compliance</p> Signup and view all the answers

What are the risk factors for pneumonia?

<p>Immunocompromised, elderly, and post-op</p> Signup and view all the answers

What does the PNEUMONIA acronym stand for in the context of pneumonia assessment?

<p>Productive cough, Neuro changes, Elevated WBC, Bands, CO2 retention</p> Signup and view all the answers

What are the regulators of Acid-Base Balance in the body?

<p>Respiratory system (O2/CO2), renal system (bicarbonate), chemical buffers</p> Signup and view all the answers

What is the purpose of ABGs (Arterial Blood Gases) in healthcare?

<p>To measure the levels of oxygen and carbon dioxide in the blood</p> Signup and view all the answers

What is the role of cultural competence in health literacy?

<p>Interpretation of social practices and recognition of social influences on health information</p> Signup and view all the answers

What are the types of pneumonia based on pathogens?

<p>Bacterial, Viral, Fungal, and Parasitic</p> Signup and view all the answers

Which of the following can lead to complications when using implantable ports?

<p>Changing the needle access every 7 days with a Huber needle</p> Signup and view all the answers

What is involved in assessing the level of consciousness in high acuity patients?

<p>Evaluating alertness, orientation, and changes in the Glasgow Coma Scale (GCS)</p> Signup and view all the answers

What can cause impairments to the level of consciousness?

<p>Medications, substances, trauma, infection, and shock</p> Signup and view all the answers

What are some risk factors that can influence traumatic brain injuries?

<p>Falls, car accidents, and age-related factors</p> Signup and view all the answers

What contributes to primary and secondary brain injuries in traumatic events?

<p>Primary traumatic events and subsequent inflammatory responses</p> Signup and view all the answers

What are some clinical manifestations of traumatic brain injuries?

<p>Altered consciousness, pupillary abnormalities, sudden neurological deficits or changes</p> Signup and view all the answers

What are symptoms commonly associated with concussion?

<p>Loss of consciousness and sensitivity to light and noise</p> Signup and view all the answers

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Study Notes

Neurological Assessment and Traumatic Brain Injury Management

  • Implantable ports require needle access change every 7 days, using a Huber needle and may lead to complications like pneumothorax, cardiac tamponade, and thrombosis.
  • Assessing the level of consciousness in high acuity patients involves evaluating alertness, orientation, and changes in the Glasgow Coma Scale (GCS).
  • Impairments to level of consciousness can be caused by medications, substances, and various medical conditions, including trauma, infection, and shock.
  • Traumatic brain injuries can result from external physical assaults and are influenced by risk factors such as falls, car accidents, and age-related factors.
  • Primary traumatic events and subsequent inflammatory responses contribute to primary and secondary brain injuries, often leading to complications such as infection and hypoxia.
  • Clinical manifestations of traumatic brain injuries include altered consciousness, pupillary abnormalities, and sudden neurological deficits or changes.
  • Concussion, a common form of TBI, results in temporary neurological impairment and may present with symptoms like loss of consciousness and sensitivity to light and noise.
  • Intracranial pressure (ICP) can increase due to TBI, leading to signs such as mental status changes, irregular breathing, and headache.
  • Management of increased ICP involves interventions to maintain cerebral perfusion pressure, decrease cerebral pressure, and manage stages of compensation.
  • Normal ICP ranges from 5-15mmHg, and cerebral perfusion pressure is influenced by factors like blood pressure and space available in the brain for perfusion.
  • The cardiac output formula, CO = HR x SV, is influenced by factors like contractility, preload, afterload, and diastolic time, which are crucial for optimal heart function.
  • Stroke volume, a component of cardiac output, is influenced by factors like contractility, preload, afterload, and diastolic time, and is essential for understanding heart function.

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