NURSING CARE MANAGEMENT 104: NEUROLOGY by Jorge V. Rosano, OD MACT RN MEM
I.
Course Module
page 1
ANATOMY AND PHYSIOLOGY OF THE BRAIN AND SPINAL CORD a. MAJOR PART SUBPART FUNCTION / DESCRIPTION Cerebrum Cerebral Cortex Frontal lobe Parietal lobe Temporal lobe Occipital lobe Limbic lobe Basal Ganglia Diencephalon Thalamus Hypothalamus Brainstem Midbrain Pons Medulla oblongata Cerebellum Medulla Oblongata Spinal Cord Meninges Dura Arachnoid Pia Spinal Nerves Autonomic NS Adrenergic System Cholinergic System b. Cerebrospinal fluid i. Function of the CSF ___________________________________________________________________ ii. Normal CSF Pressure: ___________________________________________________________________ iii. Normal CSF Volume: ___________________________________________________________________ c. Blood Supply to the Brain i. Major components of the blood vessel system ___________________________________________________________________ ii. Distribution of the blood supply ___________________________________________________________________ d. Axons vs. Dendrites Axon Function / Action Histological Feature / Parts (draw and label)
Dendrite
NURSING CARE MANAGEMENT 104: NEUROLOGY by Jorge V. Rosano, OD MACT RN MEM
II.
Course Module
DIAGNOSTIC TESTS Test
Description / Purpose
Special Nursing Considerations (Preprocedure interventions / Post procedure interventions)
Skull and spinal radiography Computed Tomography Magnetic Resonance Imaging Lumbar Puncture Myelography Cerebral angiography Electroencephalography Caloric Testing III.
page 2
NEUROLOGICAL ASSESSMENTS a. CRANIAL NERVE ASSESSMENT CN Name Function / Innervation I
How to Assess (Please discuss briefly in detail )
II III IV VI V VII VIII IX X XI XII b. GLASGOW COMA SCALE TEST SCORE Eye 4 3 2 1 Verbal 5 4 3 2 1 Motor 6 5 4 3 2 1 Highest possible score Lowest possible score What is the most important indicator? What is the interpretation of the results Enumerate the level of consciousness Neurologic
DESCRIPTION
NURSING CARE MANAGEMENT 104: NEUROLOGY by Jorge V. Rosano, OD MACT RN MEM
IV.
Course Module
page 3
NEUROLOGIC CONDITIONS / PATHOLOGIES Condition
Increased Intracranial Pressure Head Injury Spinal Cord Injury Spinal shock Cerebral aneurysm Seizure Cerebrovascular accident Multiple sclerosis Myasthenia gravis Parkinson's disease Trigeminal neuralgia Bell's palsy Gullain barre syndrome Amyotrophic lateral sclerosis Encephalitis Meningitis
Description
Etiology
Assessment Findings
Nursing Intervention (Preoperative and Post Operative)
Medications (include rationale)
Surgical Treatment