Assessment_Neurologic Status - How to Survive the Surgical ICU
How to Survive the Surgical ICU - AP_Neurologic Status
AssessmentPlan
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ASSESSMENT: Begins at the bedside
    1. Consider overall status of patient
    Presence of systemic illness/sepsis/multiorgan failure
    to effect neurologic status?
    Individual neurologic problems?

    2. Mental Status: arousal, awareness, orientation, memory
    3. Neuro Exam: Cranial nerves, Reflexes and Motor function.
    4. Comfort level/ Need for pain medication:

    How much pain medication?
    Is it adequate or is patient still in pain?
    Patient Controlled Anesthesia-PCA?
    5. Intracranial Pressure: Is camino or ventriculostomy monitor in place.
    6. Think of these Other signs:
    Vital Signs? Heart rate and blood pressure elevation can mean
    more pain. Hypotension can impair cerebral perfusion.
    ABG-acidosis? hypoxemia?
    Respiratory Pattern - Aspiration risk? Can patient protect
    the airway?
    Finger stick glucose-hypoglycemia, hyperglycemia-diabetic coma?
    Medications- Can alter mental status.
    Labs: Chemistry-abnormalities? Metabolic problems like
    hypoglycemia?
Problems:
  1. Increased Pain
  2. Sedated/Sleeping
  3. Confused or Agitated
  4. Exhibiting signs of Increased ICP
  5. Possible Overdose- Iatrogenic Prior to admission
  6. Witnessed Seizures
  7. Hepatic Encephalopathy
  8. Possible intracranial bleed
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