Ch.2 Trauma Head Injury

Question 1

Signs and symptoms of a mild head injury (6)

Answer 1

1. Brief change in LOR
2. Temporarily blurred vision seeing stars
3. Nausea, isolated vomiting
4. Headache, dizziness and lethargy
5. Personality changes, emotionally libile(unstable)
6. Amnesia

Question 2

Treatment Principles for mild head injury. (2)

Answer 2

1. monitor patient for symptoms for signs of severe head injury.
2. Let patient rest, wake them up every few hours to check LOR. patients with concussions needs rest for at least 24 hours.

Question 3

Signs and Symptoms of a serious head injury (7)

2. LOR:
3. H.R
4. R.R
5. SCTM:
6. BP:
7. Pupils:

Answer 3

1. worsening headache, visions disturbances, protracted vomiting, lethargy, excessive sleepiness, ataxia and seizures.
2. LOR: disoriented, irritable, combative or unresponsive.
3. H.R decreases and bounds
4. R.R Hyperventilation irritate respiration
5. SCTM: Warm and flushed
6. BP: increases and pulse pressure widens
7. Pupils: unequal

Question 4

Signs and Symptoms of a Skull Fracture(4)

Answer 4

1. depression in the skull or a visible crack beneath a laceration avulsion.
2. Fluid and or blood leaking from ears or nose.
3. Open head injury
4. Bruising around the eyes(raccoon eyes) Bruising around the ears(battles sign)

Question 5

Treatment principles for serious head injury /skull fracture (5)

Answer 5

1. Manage airway. breathing and circulation. consider placing patient on their side
2. Control the hemorrhage with diffused pressure with bulky pressing.
3. Administer oxygen if available.
4. Protect the spine and elevate the head 8”
5. Evaluate immediately