NURSING CARE MANAGEMENT 104: NEUROLOGY Course Module page 1

by Jorge V. Rosano, OD MACT RN MEM

I. ANATOMY AND PHYSIOLOGY OF THE BRAIN AND SPINAL CORD

a.
MAJOR PART SUBPART FUNCTION / DESCRIPTION
Cerebrum
Cerebral Cortex
Frontal lobe
Parietal lobe
Temporal lobe
Occipital lobe
Limbic lobe
Basal Ganglia
Diencephalon
Thalamus
Hypothalamus
Brainstem
Midbrain
Pons
Medulla oblongata
Cerebellum
Medulla Oblongata
Spinal Cord
Meninges
Dura
Arachnoid
Pia
Spinal Nerves
Autonomic NS
Adrenergic System
Cholinergic System

b. Cerebrospinal fluid
i. Function of the CSF
___________________________________________________________________
ii. Normal CSF Pressure:
___________________________________________________________________
iii. Normal CSF Volume:
___________________________________________________________________

c. Blood Supply to the Brain

i. Major components of the blood vessel system
___________________________________________________________________
ii. Distribution of the blood supply
___________________________________________________________________

d. Axons vs. Dendrites

Axon Dendrite
Function / Action
Histological
Feature / Parts
(draw and label)
NURSING CARE MANAGEMENT 104: NEUROLOGY Course Module page 2
by Jorge V. Rosano, OD MACT RN MEM

II. DIAGNOSTIC TESTS

Description / Special Nursing Considerations
Test
Purpose (Preprocedure interventions / Post procedure interventions)
Skull and spinal radiography
Computed Tomography
Magnetic Resonance
Imaging
Lumbar Puncture
Myelography
Cerebral angiography
Electroencephalography
Caloric Testing

III. NEUROLOGICAL ASSESSMENTS

a. CRANIAL NERVE ASSESSMENT

CN Name Function / Innervation How to Assess (Please discuss briefly in detail  )
I
II
III
IV
VI
V
VII
VIII
IX
X
XI
XII

b. GLASGOW COMA SCALE

TEST SCORE DESCRIPTION
Eye 4
3
2
1
Verbal 5
4
3
2
1
Motor 6
5
4
3
2
1

Highest possible score

Lowest possible score
What is the most important indicator?
What is the interpretation of the results
Enumerate the level of consciousness
Neurologic
NURSING CARE MANAGEMENT 104: NEUROLOGY Course Module page 3
by Jorge V. Rosano, OD MACT RN MEM

IV. NEUROLOGIC CONDITIONS / PATHOLOGIES

Nursing Intervention Medications
Condition Description Etiology Assessment Findings (Preoperative and Post Surgical Treatment
Operative) (include rationale)

Increased Intracranial Pressure

Head Injury

Spinal Cord Injury

Spinal shock

Cerebral aneurysm

Seizure

Cerebrovascular accident

Multiple sclerosis

Myasthenia gravis

Parkinson's disease

Trigeminal neuralgia

Bell's palsy

Gullain barre syndrome

Amyotrophic lateral sclerosis

Encephalitis

Meningitis