acute intracranial problems 3

Question 1

intracerebral hematoma

Answer 1

• occurs from bleeding within the brain tissue
• occurs within the frontal and temporal lobes
• outcome depends on size and location of the hematoma

Question 2

mgmt of head injury

Answer 2

• emergency
• patent airway, O2 via non rebreather
• stabilize cervical spine
• IV access
• intubate if GCS

Question 3

primary brain tumor

Answer 3

arising from the tissues within the brain

Question 4

secondary brain tumor

Answer 4

resulting from a metastasis from a malignant neoplasm elsewhere in the body

Question 5

s/s of brain tumor

Answer 5

• depends on the location, size, and mitotic rate
• HA: dull, constant, throbbing - worse at night
• s/z
• n/v
• cognitive function
• memory problems
• mood or personality changes
• muscle weakness, sensory loss, aphasia
• visual-spatial dysfunction
• hydrocephalus and manifestations of increased ICP

Question 6

s/s of frontal lobe tumor

Answer 6

• hemiplegia
• ataxia
• judgement and personality changes

Question 7

s/s of parietal lobe tumor

Answer 7

• speech disturbance
• inability to write
• spatial disorders
• unilateral neglect

Question 8

s/s of temporal lobe tumor

Answer 8

• sz

- dysphagia

Question 9

s/s of occipital lobe tumor

Answer 9

• vision disturbances

- sz

Question 10

mgmt of brain tumor

Answer 10

• surgery (complete or partial removal)
• ventricular shunts
• radiation
• sterotactic radiosurgery
• chemo and targeted therapy

Question 11

complications of radiation and stereotactic radiosurgery

Answer 11

• cerebral edema

- increased ICP

Question 12

chemo drugs for brain tumors

Answer 12

• temodar

- avastin

Question 13

nursing mgmt of brain tumors

Answer 13

• assist family in understanding what is happening to the pt
• protect the pt from self harm
• minimize environmental stimuli
• create a routine
• reality orientation
• sz precaution
• assist with self care
• establish a communication system
• nutritional status