abusive head trauma

Question 1

what are the mechanisms of injury in abusive head trauma

Answer 1

shaking, impact, crush

Question 2

what age is abusive head trauma most common in

Answer 2

infants

Question 3

what is abusive head trauma triggered by

Answer 3

crying in infants, toilet training in toddlers

Question 4

what are some findings in abusive head trauma

Answer 4

subdural hematoma, retinal hemorrhage, scalp bruising, skull fracture

Question 5

what are some ss of abusive head trauma

Answer 5

seizure, apnea, bulging fontanels, bradycardia, cardiovascular collapse, less severe: vomiting, hypothermia, poor feeding, FTT, irritability, increased sleeping

Question 6

what imaging is done for abusive head trauma

Answer 6

CT, MRI

Question 7

what is a fundoscopic exam looking for

Answer 7

retinal hemorrhage

Question 8

what is the nursing care on admission for abusive head trauma

Answer 8

respiratory/cardiac assessment, monitor for increased ICP, health history, gain info

Question 9

what are some long term nursing care for abusive head trauma

Answer 9

self care, emotional support, referrals, education