N202 Unit 6 Part 2

Question 1

Opening into the cranium w/ removal of a bone flap & opening the dura to remove a lesion/ repair a damaged area/ drain blood/ relieve increased ICP

Answer 1

Craniotomy

Question 2

Excision into the cranium to cut away a bone flap

Answer 2

Craniectomy

Question 3

Repair of a cranial defect d/t trauma, malformation, or previous sx; artificial material to replace damaged or lost bone.

Answer 3

Cranioplasty

Question 4

Indications for Intracranial Sx

Answer 4

A. Intracranial bleeding
B. Skull fractures
C. Relieve refractory ICP

Question 5

Includes Cerebrum

Incision behind hair line

Answer 5

Supratentorial

Question 6

Dbl fold of dura mater–>partition btwn cerebrum & brain stem/cerebellum

Answer 6

Tentorium

Question 7

Includes Brainstem & Cerebellem

Incision: above nape of neck

Answer 7

Infratentorial

Question 8

Bestrest Post Intracranial Sx

Answer 8

Strict bedrest x 24 hrs, then per incision or per MD

Question 9

Dressing type

Infratentorial Incision

Answer 9

Encircles head

& supports the neck

Question 10

HOB

Supratentorial Incision

Answer 10

HOB 30-45*

Question 11

Post Intracranial Sx AVOID:

Answer 11

suctioning
cough & deep breathing
airway obstruction
increased ICP

Question 12

If no bone flap,

Answer 12

DO NOT POSITION ON OPERITIVE SIDE/ SITE

Question 13

HOB Post Infratentorial Incision

Answer 13

Pt flat, <10 °

Infra=lower incision=lower HOB

Question 14

OOB Post Infratentorial Incision

Answer 14

3-5 days

Question 15

Marked facial edema
ecchymosis
Seizures
ICP

Answer 15

Common complications of Supratentorial Incision