Registered Nurse

⭐️Insulin → D50 or glucagon⁠ Heparin → Protamine sulfate⁠ Morphine → Naloxone⁠ Magnesium sulfate → Calcium gluconate⁠ Digoxin → Digoxin immune Fab⁠

⭐️🧠 Movement Disorders Localization 1️⃣ Cerebellar Disorders 🎯 Problem = Coordination & Timing ➊ Intention tremor • Worse as target is approached ➋ Dysmetria • Overshooting or undershooting movements ➌ Dysdiadochokinesia • Impaired rapid alternating movements ➍ Ataxic gait • Broad-based, unsteady gait ➎ Nystagmus • Cerebellar eye movement abnormalities 💡 Pearl: Cerebellar lesions affect coordination, but strength is usually preserved. ⸻ 2️⃣ Basal Ganglia Disorders ⚙️ Problem = Initiation & Automation of Movement ➊ Resting tremor • Improves with action ➋ Bradykinesia • Slowness of movement ➌ Rigidity • Cogwheel or lead-pipe rigidity ➍ Postural instability • Balance impairment ➎ Shuffling gait • Reduced arm swing ➏ Masked facies • Reduced facial expression 💡 Pearl: Think Parkinsonism when tremor, rigidity, and bradykinesia occur together. ⸻ 3️⃣ Cortical Disorders 🧩 Problem = Planning & Execution ➊ Action/Postural tremor • Occurs during voluntary movement ➋ Myoclonus • Sudden, shock-like jerks ➌ Focal motor seizures • Repetitive jerking of one body part ➍ Spasticity • Increased tone with UMN signs ➎ Weakness/Paresis • Often associated with hyperreflexia ➏ Apraxia • Inability to perform learned tasks 💡 Pearl: Cortical lesions disrupt motor planning and execution rather than coordination. ⸻ 4️⃣ Quick Localization Tricks 🟢 Cerebellum • Intention tremor • Dysmetria • Ataxia • Nystagmus 🔵 Basal Ganglia • Resting tremor • Bradykinesia • Rigidity • Shuffling gait 🟣 Cortex • Action tremor • Myoclonus • Seizures • Apraxia ⸻ 🎯 Remember This 🧠 Cerebellum = Coordination ⚙️ Basal Ganglia = Initiation 🧩 Cortex = Planning & Execution ⸻