Neuro

CEN Review Question

answer: C. Remember the epidural bleeds are a tear of the middle meningeal artery, which is located in temporal lobe. The biggest clue is location AND pt presentation. The pt has a period of lucidity, and then falls into a decreased LOC after “they appear fine” right after the incident. Case in point, Natasha Richardson’s skiing accident proved fatal after she fell, struck her head (no helmet) and did not go to the ED to get a scan. Sadly, she died from her epidural bleed.

New Mnemonic For Cranial Nerves-The Millennial RN

Remember that old boring mnemonic,

  • On old Olympus’s towering top a Finn and German viewed some hops 2
  • Ooh, ooh, ooh to touch and feel very good velvet. Such heaven!

Here’s one for all of you Harry Potter fans our there:

Different Strokes for Different Folks-Ischemic Stroke

Repost IG @https://www.instagram.com/the_resuscitationist/

TEAM,
.
Different “strokes” for different folks. 
CVA=Vascular injury that reduces cerebral blood flow to specific region of brain causing neuro impairment
determination of last known time when patient was at baseline is essential. Time = brain.

ISCHEMIC STROKE CAUSES

Thrombotic (80% of ischemic CVA)

Atherosclerosis

Vasculitis

verteberal & carotid artery dissection

Polycythemia

Hypercoagulable state

Infection

Embolic (20% of ischemic CVA)

Valvular vegetations

Mural thrombi

Arterial-arterial emboli from proximal source

Fat Emboli

Septic emboli

Hypoperfusion

Cardiac failure resulting in systemic 
HEMORRHAGIC CAUSE

Intracerebral

Hypertension

Amyloidosis

Anticoagulation

Vascular malformations

Cocaine

Subarachnoid 
Berry aneurysm rupture

AV malformation

CINCINNATI PREHOSPITAL STROKE SCALE
1 .Facial droop
2. Arm drift
3. Speech
All 3 present >85% acute stroke
.
Also incorporated into public awareness “FAST” = face, arm, speech, time
 STROKE TYPES
Ischemic, cerebellar, transient ischemic attack (TIA), hemorrhagic, intracerebral,subarachnoid
Wikiem.org for more indepth. This is a HUGE topic with many different niches.

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