Neuro Disorders Flashcards
3 forms of spina bifida
Spina bifida occulta
Meningocele
Myelomeningocele
Type of spina bifida:
‣ tuft of hair present, dimpling at base of spine
‣ no protrusion of spinal nerves, but missing bone
oculta
Type of spina bifida:
Protrusion containing meninges and spinal fluid ,,, NO nerves
Meningocele
Type of spina bifida,,,
Protrusion containing meninges, spinal fluid, and nerves
Myelomeningocele
What is the general name for the disorder that causes neural tube defects affecting g the CNS
Spina bifida
Spina bifida increases risk of what allergy?
Latex!
*can be life threatening allergic reaction
Spina bifida increases risk of what disorder that requires shunting at it?
Hydrocephalus
Bladder and bowel issues/paralysis with which types of spina bifida?
Meningocele and Myelomeningocele
Can we take rectal temps on spina bifida patients?
Heck no!
What kind of dressing goes over lower back of spina bifida patient?
Sterile moist dressing initially, change ever 2 hours
What position do we place new born spina bifida patient in?
Prone
Avoid pressure on sac
What kind of hold is recommended for spina bifida newborn?
Football hold — avoid pressure on sac
Can spina bifida babes be born vaginally?
No! C section
When is surgery done to repair spina bifida site after birth?
Within 24-48 hours of birth
Long term considerations for spina bifida
risk for ineffective ADL/ impaired elimination/ mobility
◦ education: in and out every 4 hours
◦ OT to help with bowel training
◦ ROM exercises
Is hydrocephalus common in spina bifida patients?
Yes! 90-95% have it
This disorder is an imbalance in the PRODUCTION and/or ABSORPTION of the CSF
Hydrocephalus
What does hydrocephalus do to fontanel?
Accumulation of blood in ventricles causes bulging of the fontanels
Post op consideration for VP (ventricular peritoneal) Shunt (think: positioning)
position change follows Dr. orders
‣ do not elevate too fast –> fluid drain too quickly –> injury to brain
‣ lay child flat on his or her nonsurgical side to prevent rapid reduction in intracranial fluid