NURS 125 Lecture Notes - Lecture 9: Intracranial Pressure, Blood Vessel, Headache
12 Feb 2019
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*can usually be assessed by how a client communicates and moves within the room, as neuro exams can be time consuming. *if health history indicates neural issues, then a neural exam is necessary. Signs and symptoms of stroke: sudden numbness or weakness, sudden confusion, difficulty speaking/understanding, sudden vision problems/blurred vision, sudden trouble walking, dizziness, loss of balance or coordination, sudden severe headache. Hemorrhagic stroke: caused by a burst blood vessel bleeding into the brain. Signs of raised intracranial pressure (fever can accompany) Nvs = vital signs + glasgow coma scale (gcs) Comprehensive neuro exam: 5 sections: mental status & speech, cranial nerves, motor system (corticospinal tract) Cerebellum: coordination of ipsilateral movements: sensory system (spinothalamic tract, reflexes - e. g. pupils. Flaccid muscles - loss of innervation to the muscle, which causes atrophy. Pronator drift - ask patient to close eyes and hold up an imaginary pizza box, abnormal findings include pronation. Tandem walking - heel/toe walking, should be done without falling.
