Neurological Flashcards
Monroe Kelly Hypothesis
Fixed space with three components:
Brain:CSF:Blood
Any increase in these areas means a decrease in another.
Normal ICP Range
0-15 mmHg
Calculating MAP
(DBP X2) + SBP / 3
Calculation for CPP
MAP - ICP
Increased ICP
Tachycardia
Cheyne-Stokes Respirations
Elevated Blood Pressure
Herniation? :
Decorticate
Decebrate
Blow pupil/differing pupils
Change in LOC / motor response
Cushing Triad
Increased in ICP
Bradycardia
Elevated Blood Pressure - Widened Pulse Pressure
Cheyne Stokes Respirations
Secondary Brain Injuries
3 H’s for secondary TBI
Hypoxia
Hypo/Hypertension
Hypo/Hypercapnia
CT Scan Subdural Bleed
Concave Shape
CT Scan Epidural Bleed
Convex Shape (Lemon)
Subdural Hematoma
Occurs between dura mater and arachnoid membrane.
Venous in nature.
Epidural Hematoma
Between Cranium and dura mater
Most of the time from traumas
Rapid Decompression of the brain stem
“lucid interval” neurological deterioration
subarachnoid hemorrhage
between the arachnoid and the pia mater
Sudden s/s. Massive headache/seizures
Layers of brain covering
Pia Mater (Thin)
Arachnoid (Middle Layer)
Dura Mater (Outer Layer)
Cranium (Covering)
Intraventricular Hemorrhage
Bleeding from ventrics.
Anterior Cord Syndrome
Hyper-flexion injury
Below T10 usually
urine/fecal incontinence
Spastic paralysis