Head Trauma Flashcards
1
Q
Teardrop-shaped pupil indicates
A
globe injury
2
Q
Target O2 sat in Brain Injury
A
>=90%
3
Q
Target SBP
A
>=90
4
Q
Target MAP
A
>=80
5
Q
Target PaCO2
A
35-45 mmHg
6
Q
Target Temperature
A
36 - 38.3 deg C
7
Q
Target CPP
A
>=60mmHg
8
Q
Target ICP
A
<20mmHg
9
Q
Target Glucose
A
80-180mg/dL
Glycemic goals in DM
Preprandial: 80-130
Postprandial: 180
10
Q
Target INR
A
<=1.4
11
Q
Target Hgb
A
>=8 grams.dL
12
Q
Target Platelets
A
>=75 x 10^3/mm^3
13
Q
Physiologic Na+
A
135-140 meq/L
14
Q
Target PbtO2
A
>=15mmHg
15
Q
Normal ICP in adults
A
<10-15
16
Q
Normal ICP in young children
A
3 - 7 mmHg
17
Q
A
18
Q
Normal ICP in Infants
A
1.5 - 6.0 mm Hg
19
Q
CPP is
A
CPP = MAP - ICP
20
Q
MAP is
A
DBP + ((SBP- DBP)/3)
21
Q
Cushing reflex Triad
A
HYPER tension
BRADY cardia
Respiratory Irregularity
22
Q
For patients 50 to 69, maintain SBP at
A
>=100mmHg
23
Q
For >70, maintain SBP at
A
>=110mmHg
24
Q
For 15 to 49 y/o, maintain SBP at
A
>=110mmHg
25
Induction agent that is neuro protective
Lowers ICP
Adrenal suppression unlikely
Etomidate 0.3 mg/kg IV
26
Induction agent with anti-seizure properties
Propofol 1-3 mg/kg IV
27
Paralytic to avoid in burns, extensive muscle injury
Succinylcholine 1mg/kg
28
Paralytic safe in hyperK
Rocuronium 1.0 mg/kg IV
29
Give antiepileptic if GCS is
**<=10**
