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  • Cranial+Nerves 1styear

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    ashleyyanez3
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    The document provides instructions for assessing the 12 cranial nerves. It describes tests to evaluate each nerve's function, including smell, vision, eye movement, facial expression, hearing, balance, swallowing, tongue movement, and shoulder movement. The assessment examines sensory and motor functions through tasks like identifying scents, reading, following light, smiling, and shrugging shoulders. Mnemonics are provided to remember the cranial nerve order and functions.

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    Cranial nerves

    Original Title

    Cranial+Nerves.1styear

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    The document provides instructions for assessing the 12 cranial nerves. It describes tests to evaluate each nerve's function, including smell, vision, eye movement, facial expression, hearing, balance, swallowing, tongue movement, and shoulder movement. The assessment examines sensory and motor functions through tasks like identifying scents, reading, following light, smiling, and shrugging shoulders. Mnemonics are provided to remember the cranial nerve order and functions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    40 views2 pages

    Cranial+Nerves 1styear

    Uploaded by

    ashleyyanez3
    The document provides instructions for assessing the 12 cranial nerves. It describes tests to evaluate each nerve's function, including smell, vision, eye movement, facial expression, hearing, balance, swallowing, tongue movement, and shoulder movement. The assessment examines sensory and motor functions through tasks like identifying scents, reading, following light, smiling, and shrugging shoulders. Mnemonics are provided to remember the cranial nerve order and functions.

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    of 2

    Cranial Nerves Assessment

    I Ask pt to smell & identify


    Smell scent with each nostril
    OLFACTORY
    separately & eyes closed.

    ENSURE adequate lighting. Ask PT


    II Visual
    to read from a reading material
    OPTIC acuity held at a distance of 14 IN.

    SHINE PENLIGHT TO ASSESS PERRLA


    (PUPILS EQUAL ROUND REACTIVE TO
    EYE LIGHT & ACCOMODATION)
    IIi MOVEMENT:
    Reaction: Shine penlight into each eye &
    PUPIL SIZE & observe response of pupil. Shine light
    OCULOMOTOR
    REACTIVITY on pupil again & observe response of
    other pupil.

    accommodation: "Can you focus on my


    penlight as I bring it to your nose?"

    Hold a penlight 1 ft. in front of


    pt's eyes. Ask pt to follow the
    Iv Visual movements of your penlight
    acuity with their eyes only. Move the
    TROCHLEAR penlight upward, downward,
    sideward & diagonally.

    MOTOR: observe the strength and symmetry of


    CHEWING movement when PT clenches teeth.
    v & FACIAL
    SEnSORY: instruct PT TO CLOSE EYES, USE cotton
    Trigeminal SENSATION
    swab TO lightly touch FACE, FOREHEAD & CHIN.
    iNSTRUCT PT TO SAY, "NOW" EACH TIME THEY FEEL IT.

    ASK PT to follow your


    finger as you move it
    vi LATERAL EYE
    from midline toward
    MOVEMENT the pt’s ear on one side
    ABDUCENS
    & then the other.

    Ask PT to smile, show


    teeth, close both eyes,
    vii FACIAL puff cheeks, frown &
    EXPRESSIONS raise eyebrows. OBSERVE
    facial symmetry & strength of
    facial muscles.

    COPYRIGHT © ORGANIZEDNURSEDESIGNS
    Cranial Nerves Assessment

    TEST EACH EAR INDIVDUALLY:


    INSTRUCT PT TO OCCLUDE ONE EAR
    VIII HEARING &
    & WHISPER A PHRASE OR COMBO OF
    NUMBERS/LETTERS (ex: j-k-8-9) IN
    Vestibulo- BALANCE THE OTHER & instruct pt to
    cochlear repeat phrase. test balance by
    asking pt to stand w/ feet
    together & eyes closed.

    ask pt to open mouth & say, "ah."


    Ix gagging & note symmetry of upper palate,
    Glosso- ask pt to swallow, uvula &
    swallowing
    pharyngeal tongue should be midline.

    Use tongue blade to touch


    pharynx &
    x larynx
    pt's posterior pharynx;
    observe for a gag reflex
    vagus sensation followed by a swallow.

    ask pt to shrug shoulders


    shoulder
    against resistance from your
    xI shrugging & hands & turn head to side
    accessory head rotation against resistance from your
    hand. Repeat for other side.

    ask pt to stick out their


    XII tongue
    tongue at midline & move it
    side to side. Deviation to
    hypoglossal movement one side or the inability to
    stick out the tongue are
    abnormal findings.

    cranial nerves mnemonic:


    "oh oh oh, to take a family vacation, go Vietnam and Hawaii."

    function mnemonic:
    "some say marry money, but my brother says big brains matter most."

    COPYRIGHT © ORGANIZEDNURSEDESIGNS

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