N202 Unit 6 Part 2 TBI Flashcards
periorbital bruising
raccoon eyes
halo sign
clear draining that separates from bloody drainage (presence of CSF)
bruising of the peri-auricular (behind the ear) area
battle signs
Tx of Communicated & Compound Skull Fx
debride, abx, and crainioplasty prn
linear fx at base of skull, frequently crosses the sinus & tears the dura → leakage of the blood &/or CSF
Basilar skull fxu
With Basilar skull fx do NOT
pack the nose or the ear
blow nose
suction drainage
tearing of the brain tissue
Laceration
bruising of brain tissue
Contusion
Contusion of the brain stem–>
coma
Bleeding btwn dura mater & arachnoid layer
Subdural hematoma
3 types of Subdural hematomas
acute
subacute
chronic
Leading cause of TBI
Falls
moving object hits a stationary head.
Acceleration
only pt of contact that is injured
moving head strikes a stationary object
Deceleration
most common w/ MVA
Acceleration-deceleration
70% of all Skull Fx
Linear
Straight ln/ crack in the skull.
Linear
Tx for Linear Skull Fx
often bedrest
hematoma btwn skull & upper surface of dura
Epidural hematoma
Epidural hematoma
neurologic emergency
Can cause Death