NSG 2317 Lecture Notes - Lecture 11: Metacarpal Bones, Glasgow Coma Scale, Cremasteric Reflex

• School: University of Ottawa
• Department: Nursing
• Course: NSG 2317
• Professor: Patrick O' Byrne

Document Summary

Vertigo- the world is spinning around you- inner ear, cns, or linkage between the two (cranial nerve 8) Dysmetria- inability to control muscle (reach for something and go to far), Dysarthria or dysphasia- difficulty forming words or comprehension of language. Headache- concerned if it is sudden, severe, thunderclap, wake you up, new headaches, correspond with nuchal rigidity (suspicious of meningitis) Are the sx focal (pns), multi- focal or diffuse (cns: localised to specific spot, all over the place, or everywhere. Do the sx follow a pattern: dermatomes, myotomes (same innervation but into muscles) Pmhx: dege(cid:374)erati(cid:448)e diseases (cid:894)parki(cid:374)so(cid:374)"s alzhei(cid:373)er"s(cid:895, cva, seizure disorder, malignancy, infection, diabetes mellitus, hypertension, dyslipidemia. Signs of stroke or tia: u(cid:374)ilateral (cid:374)u(cid:373)(cid:271)(cid:374)ess, paresthesia, (cid:271)li(cid:374)ki(cid:374)g, ask the perso(cid:374) to s(cid:373)ile a(cid:374)d see if it"s symmetrical. Signs of raised intracranial pressure: mildly increased icp- temporal headache, worst in the morning because the fluid pools in the head, increases when coughing, sneezing, bm.