PCCN neuro
Frontal lobe functions - answer Personality, motor function, motor speech, morals,
emotions, judgment
Parietal lobe function - answer Sensation, pain, interpretation, temperature, pressure
Occipital lobe function - answer visual
Cerebellum functions - answer coordination of muscle movement & tone, equilibrium
What does the glasgow coma scale assess? - answer 1. eye opening 2. motor
response 3. verbal response
Early S/S of increased ICP - answer 1. Change in LOC (earliest sign)
2. headache
3. N/V (can project to projectile)
4. Lethargy
5. Irritability
6. slow decision making
Late S/S of increased ICP - answer 1. pupillary changes
2. Seizures
3. Posturing
4. Can progress to coma
Who should ICP monitoring be done for? - answer 1. head injuries (GCS <8)
2. Cerebral edema
3. Large Ischemic stroke
4. Hydrocephalus
Normal ICP - answer 0-15 mmHg
tx is indicated when ICP is greater than? - answer sustained 20-25 mmHg
Positioning of patients w/increased ICP? - answer 1. prevent compression of jugular
veins
2. HOB 30-45 degrees
3. Straight legs
4. Decrease stimuli
Medical tx for increased ICP - answer 1. mannitol
