Objectives

  • What is CNS Depression?
  • How do you conduct a neuro assessment?
  • In detail, what are important criteria in doing a neuro assessment 

CNS Depression

  • CNS function slows down 
  • Can affect different systems 
  • regulates vital organs, digestion, circulation

Causes

  • metabolic acidosis
  • diabetic ketoacidosis
  • CNS depressants: opioid overdose
  • stroke, brain trauma

Symptoms

  • lack of coordination
  • reduced HR
  • muscle weakness
  • NV
  • constipation
  • low BP
  • slow RR
  • confusion

 

Neuro Assessment - Purpose

  assesses balance, coordination, the function of nerves, reflexes, mental status, motor and sensory skills 

Neuro Assessment

LOC: alert? 

Eye opening, verbal response, motor response

Subjective: health hx 

  • bones: trauma, ROM
  • ADLs
  • Self care 
  • Joints: pain, stiffness
  • Muscles: cramps, weakness 

Objective:

  • inspect joints for size, colour, swelling, deformities
  • palpate: temp, tenderness, mass
  • ROM
  • Muscle testing: against opposing force
  • compare sides 
  • Pupils: PERRLA, accommodation 
  • Motor function: grip test
  • Pain: sternum rub (can cause bruising)

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