Exam 3 study guide.docx - Neuro Assessment Cerebellum...

This preview shows page 1 - 3 out of 5 pages.

Neuro Assessment Cerebellum – function and assessment Located posterior and inferior to the cerebrum, Influence’s muscle tone and coordination of muscle action. Control of equilibrium and posture. Movements should be smooth *Walk, sit, stand, tip toes, heels, heel to toe, forward/backward/sidestep, Romberg’s test Eyes closed, feet together swaying = (+) Pronator’s drift - stand and extend arms with palms up-assessing for stroke Dystaxia- eyes closed, finger to nose, 2 nd test lying supine, heel to opposite shin up/down. Rapid Alternating Movements (RAM)- slap thigh then palm rapidly. Muscle/motor assessment CN assessment – function Ol d #1 olfactory-smell Op ie #2 Optic-vision Oc casionally #3 Oculomotor-extraocular movement, pupil constriction, eyelid movements Tr ies #4 Trochlear-Extraocular movements Trig onometry #5 Trigeminal-mastication, jaw movements A nd. #6 Abducens-Extraocular movements F eels. #7 Facial-taste V ery #8 Vestibulocochlear- Hearing and balance Glo omy. #9 Glossopharyngeal-Sensory in throat, taste Vag ue. #10 Vagus-swallowing/gag reflex A nd #11 Spinal accessory-shoulder/head movement Hypo active. #12 Hypoglossal-Tongue movement Sensory assessment – ie Peripheral neuropathy Light touch- cotton ball, Sharp -broken tongue blade/sharp object Temperature -hot/cold Proprioceptive sensation- grasp fingers/toes-move them up/down ask pt what is the direction. Vibration- tuning fork on foot, soft tissue and bone Cortical sensation- coin in hand -identify object Graphesthesia- eyes closed trace a number/letter on palm ask what was written Two-point discrimination- two unraveled paper clips touch patients simultaneously closer and closer until the patients can no longer distinguish the distance. Extinction- touch the patient, ask where it was felt.
Reflexes Diminished DTR may indicate deep coma, deep sedation or narcosis.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture