Exam 3 - Head Injury Flashcards

1
Q

a head injury includes trauma to any of these 3 areas

A

skull
scalp
brain

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2
Q

at what 3 points does a death r/t head injury occur

A

immediately after
within 2 hours of injury
3 weeks after injury

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3
Q

presented warning signs 24 hours after head injury

A

change in LOC
seizures
bleeding, water drainage from nose or ears
projectile vomiting
loss of sensation
visual problems
pupils slow to react

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4
Q

___ is a diffuse head injury

A

concussion

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5
Q

what is postconussion syndrome

A

persistent HA
lethargy
personality, behavior changes
short attn span
decrease short-term memory
change in intellectual ability

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6
Q

what occurs with diffuse axonal head injury

A

widespread axonal injury
decrease LOC
increase ICP
decortication
decerebration
cerebral edema

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7
Q

what are examples of focal head injuries

A

lacerations
contusion

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8
Q

a contusion r/t to a head injury is a ___ head injury

A

closed

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9
Q

what things a contusion head injury lead to

A

hemorrhage
infarction
necrosis
edema

monitor for seizures

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10
Q

what occurs during a coup-contracoup injury

A

brain is shaking in the head during impact

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11
Q

what does coup and contacoup mean

A

coup: front to back

contracoup: side to side

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12
Q

does does an epidural hematoma occur

A

bleeding between the dura and inner surface of the skull

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13
Q

epidural and subdural hematomas are associated with ___ ___

A

skull fractures

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14
Q

s/sx of epidural hematoma

A

initial period of unconsciousness
brief lucid interval followed by decrease in LOC
HA
N/V

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15
Q

where does a subdural hematoma occur

A

between the dura mater and arachnoid

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16
Q

acute vs. subacute vs. chronic subdural hematoma occurence

A

A: 24-28 hours after injury
S: 2-14 days after injury
C: weeks to months after injury

17
Q

s/sx of acute subdural hematoma

A

s/sx of increase ICP
decrease LOC
HA
pupils dilated, fix (if severe - in one eye)

18
Q

where does intracerebral hematoma occur

A

within the brain tissue

usually frontal or parietal lobes

19
Q

how to dx a head injury

A

CT **
MRI
PET
doppler
cervical spine XR
GCS

20
Q

measures for pts leaking CSF

A

elevate HOB
loose collection pad under nose, over ear
no sneezing, blowing nose
no NGT
no nasotracheal suctioning