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Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Ed., Hinkle & Cheever
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60 - Assessment of Neurologic Function

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Ed., Hinkle & Cheever | Registered Nurse (RN) School Study Aid

60 - Assessment of Neurologic Function
26 Picmonics to Learn | 35 mins
CSF Lab Values: Normal
Pressure: < 20 cm H2O
Color/Appearance: Clear or Colorless
Proteins: < 40 mg/dL
Lactate Dehydrogenase: 10% of Serum Level
Cells: 0-5 Small Lymphocytes
Glucose: 40-70 mg/dL
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2 mins
Lumbar Puncture
Indications
CSF Sample
CSF Pressure
Considerations
Empty Bladder
Side-lying Position
Between 3rd and 4th Lumbar Vertebrae
Number Tubes
Supine Position After Procedure
Contraindications
Increased ICP (Intracranial Pressure)
Infection at Puncture Site
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2 mins
Magnetic Resonance Imaging (MRI)
Procedure
Internal Body Images
Detects Variations of Soft Tissues
Considerations
No Metal Objects
No Pacemakers
Contrast is Non-Iodine
Safe During Pregnancy
Long Procedure
Antianxiety Medications
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2 mins
Autonomic Nervous System
Characteristics
Sympathetic Nervous System
Fight or Flight
All Preganglionic Neurons Release Acetylcholine
Sympathetic Postganglionic Neurons Release Norepinephrine
Antagonistic Effects of Sympathetic and Parasympathetic Nervous Systems
Parasympathetic Nervous System
Rest and Digest
Parasympathetic Postganglionic Neurons Release Acetylcholine
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2 mins
Central Nervous System (CNS)
Characteristics
Frontal Lobe
Parietal Lobe
Temporal Lobe
Occipital Lobe
Medulla Oblongata
Cerebellum
Pons
Spinal Cord
Dorsal Root Ganglia
Grey Matter
White Matter
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2 mins
Cranial Bones
Occipital
Parietal
Frontal
Temporal
Ethmoid
Sphenoid
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52 secs
Facial Bones
Vomer
Conchae
Nasal
Maxilla
Mandible
Palatine
Zygomatic
Lacrimal
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1 min
Dermatomes - Cervical
C2 - Posterior Cap Distribution
C3 - High Turtleneck
C4 - Low Collar Shirt
C5 - Anterolateral Shoulder
C6 - Thumb
C7 - Middle Finger
C8 - Pinky Finger
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1 min
Dermatomes - Lumbosacral
L2 - Medial Thigh
L3 - Medial Knee
L4 - Kneecap, Medial Ankle, and Big Toe
L5 - Dorsum of Foot
S1 - Lateral Foot, Posteriolateral Thigh
S 2, 3, 4, 5 - Perianal and Genitals
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2 mins
Dermatomes - Thoracic
Characteristics
T1 - Medial Arm
T4 - Nipple
T7 - Xiphoid
T10 - Belly Button
T12 - Pubis
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58 secs
Posterior Column (Dorsal Column)
Ascending Pathway (Sensory)
Sensations
Proprioception
Fine Touch
Pressure
Vibration Sensation
Anatomy
Dorsal Root
Fasciculus Cuneatus
Arms
Fasciculus Gracilis
Lower Limbs
Lesions
Vitamin B12 Deficiency
Tabes Dorsalis
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2 mins
Spinothalamic Tracts
Ascending Pathway (Sensory)
Lateral
Temperature
Pain
Anterior
Crude Touch
Pressure
Decussates at Anterior White Commisure
Lesion
Contralateral Anesthesia
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2 mins
Circle of Willis
Characteristics
Anterior Cerebral Artery (ACA) Supplies Motor/Sensory Parts of the Cortex for Lower Extremities
Anterior Communicating Artery (Acomm) Connects ACA to ACA
Internal Carotid Arteries (ICA)
Middle Cerebral Arteries (MCA) Supply Cortex for Upper Limbs and Face
Posterior Communicating Artery (Pcomm) Connects ICA to PCA
Posterior Cerebral Arteries (PCA) Supply Occipital Cortex
Basilar Artery Supplies Medulla, Pons, and PCA
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3 mins
CN I
Olfactory Nerve
Sensory
Smell
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36 secs
CN II
Optic Nerve
Sensory
Vision
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35 secs
CN III
Oculomotor Nerve
Motor
Eye Movement
Accommodation
Eyelid Opening
Pupillary Constriction
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1 min
CN IV
Trochlear Nerve
Motor
Abducts, Depresses, Internally Rotates
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48 secs
CN IX
Glossopharyngeal Nerve
Sensory
Taste from Posterior 1/3 of Tongue
Monitoring Carotid Body and Sinus
Motor
Stylopharyngeus
Swallowing
Salivation
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1 min
CN V
Trigeminal Nerve
Sensory
Facial Sensation
Motor Function (Via Mandibular Nerve)
Mastication Muscles
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1 min
CN VI
Abducens Nerve
Motor
Abducts Eye
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48 secs
CN VII
Facial Nerve
Lacrimation
Salivation
Sensory
Taste from Anterior 2/3 of Tongue
Motor
Facial Movement
Stapedius Muscle
Eyelid Closing
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1 min
CN VIII
Vestibulocochlear Nerve
Sensory
Hearing
Balance
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55 secs
CN X
Vagus Nerve
Sensory
Aortic Arch Chemoreceptors and Baroreceptors
Taste from Epiglottic Region
Motor
Swallowing
Palate Elevation
Talking
Coughing
Midline Uvula
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1 min
CN XI
Accessory Nerve
Motor
Head Turning
Shoulder Shrugging
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36 secs
CN XII
Hypoglossal Nerve
Motor
Tongue Movement
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34 secs
Cranial Nerve Function
Sensory
CN I
CN II
CN VIII
Motor
CN III
CN IV
CN VI
CN XI
CN XII
Both
CN V
CN VII
CN IX
CN X
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1 min

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