Medical complications in TBI

Question 1

Gold standard to diagnose DVT

Answer 1

Contrast venography

Question 2

When placing gastrostomy or jejunostomy, at least how long should they be in place for

Answer 2

30 days

Question 3

Failure to wean off or alternate feeding routes has been associated with cognitive levels below _____ on the ranchos los amigos scale

Answer 3

V (confused and inappropriate)

Question 4

medications used to help with cognitive deficits in TBI

Answer 4

1. Dopamine agonists - bromocriptine, sinemet, amantadine

2. Stimulants - methylphenidate, modafinil, adderall

Question 5

5 medications that have shown benefit in improving arousal and attention

Answer 5

1. Methylphenidate (Ritalin)
2. amantadine (symmetrel)
3. Dextroamphetamine (Adderall)
4. Modafinil (provigil)
5. Atomoxtine (Strattera)

Question 6

What type of neurogenic bladder do TBI patients usually have?

Answer 6

Detrusor hyperreflexia

Question 7

Medication of choice to treat HTN in TBI patients

Answer 7

Propranolol

Question 8

Medication of choice for DVT prophylaxis in TBI patients

Answer 8

unfractionated heparin or LMWH

Question 9

Why should metoclopramide be avoided in TBI patients, although it can help with GERD?

Answer 9

Can cause sedation and extrapyramidal side effects

Question 10

How long do you treat a DVT for with anticoagulation?

Answer 10

3-6 months

Question 11

What kind of medication is preferred to treat neurogenic bladder in TBI patients?

Answer 11

Anticholinergics