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Chapter 56

Nursing Assessment Nervous System

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Structures and Functions of the Nervous System

Cells of the nervous system

Neurons Neuroglia

Nerve regeneration

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Fig. 56-1

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Structures and Functions of the Nervous System (contd)

Nerve impulse

Action potential Synapse Neurotransmitters

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Fig. 56-2

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Fig. 56-3

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Fig. 56-4

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Structures and Functions of the Nervous System (contd)

Central nervous system

Spinal cord Ascending tracts Descending tracts Lower and upper motor neurons Reflex arc

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Fig. 56-5

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Fig. 56-6

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Structures and Functions of the Nervous System (contd)

Central nervous system (contd)

Brain Cerebrum Brainstem Cerebellum Ventricles and cerebrospinal fluid

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Fig. 56-7

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Fig. 56-8

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Fig. 56-9

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Fig. 56-10

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Structures and Functions of the Nervous System (contd)

Peripheral nervous system

Spinal nerves Cranial nerves Autonomic nervous system

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Fig. 56-11

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Fig. 56-12

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Structures and Functions of the Nervous System (contd)

Cerebral circulation

Blood-brain barrier
Meninges Skull Vertebral column

Protective structures

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Fig. 56-13

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Fig. 56-14

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Fig. 56-15

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Gerontologic Considerations Effects of Aging on the Nervous System

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Assessment of the Nervous System

Subjective data

Important health information Past health history Medications Surgery or other treatments

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Assessment of the Nervous System (contd)

Functional Health Patterns Health PerceptionHealth Management Pattern Nutritional-Metabolic Pattern Elimination Pattern Activity-Exercise Pattern Sleep-Rest Pattern Cognitive-Perceptual Pattern Self-PerceptionSelf-Concept Pattern Role-Relationship Pattern Sexuality-Reproductive Pattern CopingStress Tolerance Pattern Value-Belief Pattern

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Assessment of the Nervous System (contd)

Objective data

Physical examination Mental status Cranial nerves


Olfactory nerve Optic nerve Oculomotor, trochlear, and abducens nerves Trigeminal nerve Facial nerve Acoustic nerve Glossopharyngeal and vagus nerves Spinal accessory nerve Hypoglossal nerve

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Fig. 56-16

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Assessment of the Nervous System (contd)

Physical examination (contd) Motor system Sensory system


Reflexes

Light touch Pain and temperature Vibration sense Position sense Cortical sensory functions

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Fig. 56-17

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Fig. 56-18

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Fig. 56-19

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Diagnostic Studies of the Nervous System


Cerebrospinal fluid analysis Lumbar puncture Radiologic studies Cerebral angiography Electrographic studies

Electroencephalography Electromyography and nerve conduction studies Evoked potentials

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Fig. 56-20

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Fig. 56-21

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Fig. 56-22

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