Download Week 3 - Intracranial Regulation - Trinity Valley Community College

INTRACRANIAL REGULATION
Trinity Valley Community College
Associate Degree Nursing
Focused Clinical Activity – Level III
Concept: Intracranial Regulation
Clinical Objectives:
1. The student will compare 2 patients with intracranial regulation deficits.
2. The student will differentiate physiological and psychological clinical manifestations of
intracranial regulation deficits.
3. The student will be able to identify the Stroke Center Criteria (F.A.S.T.) as it applies to
one of the 2 identified patients.
Instructions:
1. The student will complete the form for each patient.
2. The student will be able to discuss 3 different clinical manifestation of intracranial
regulation deficits.
3. By each of the sections below place a F. A. S. or T. as it applies to the criteria for
FAST stroke lay persons assessment.
Clinical Activity:
Assessment:
Topic
Diagnosis/problem
Comprehensive History:
Numbness, paralysis,
tingling, neuralgia
Loss of consciousness,
dizziness, fainting, confusion
Changes in recent or
remote memory
Changes in vision, hearing,
balance, gait
Speech problems
(expressive and/or receptive
Chewing or swallowing
problems
Muscle weakness or loss of
Pt#1
Pt #2
INTRACRANIAL REGULATION
bowel or urinary control
Onset of unexplained
tremors or other motion
disturbances
Unexplained, severe
headache
Vomiting
Symptoms onset
History of head injury
Other:
Physical and Psychological Clinical
Manifestations
Change in mental status
Change in cognitive and motor
functioning (including a baseline
neurological exam especially for
elderly patients)
Glasgow comma scale
Cranial Nerves
Intracranial Pressure (ICP)
Measurement of cerebral
perfusion pressure
National Institutes of Health
Stroke Scale (NIHSS)
Diagnostic Tests
Neuroimaging Studies –
computed tomography (CT),
magnetic resonance imaging
(MRI),
magnetic resonance angiography
(MRA),
positive emission tomography
(PET)
Skull Radiograph
Electroencephalogram
(EEG)
Brain biopsy
Brain ultrasound
Brain echogram
Brain Nuclear Medicine Scan
INTRACRANIAL REGULATION
Nerve conduction studies
Lumbar puncture
Therapeutic Drug levels
Serum glucose and protein levels
ADH levels
Serum electrolyte levels
Medications:
J:levelIIIconcepts/clinical activities