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CMPA411 Pedia > PEDIA Neuro > Flashcards

PEDIA Neuro Flashcards

1
Q

Imbalance of CSF absorption or production

A

Hydrocephalus

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2
Q

Results in head enlargement and increased ICP

A

Hydrocephalus

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3
Q

Type of Hydrocephalus: impaired absorption within the subarachnoid space

A

Communicating

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4
Q

Type of Hydrocephalus: Interference of the CSF in the ventricular system

A

Communicating

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5
Q

Type of Hydrocephalus: Obstruction of CSF flow in the ventricular system

A

Noncommunicating

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6
Q

Hydrocephalus Assessment: Increased head circumference

A

Infant

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7
Q

Hydrocephalus Assessment: bones of the head in infant

A

Thin, widely separated

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8
Q

Hydrocephalus Assessment: bones of the head produced cracked-pot sound on percussion

A

Macawen’s sign

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9
Q

Hydrocephalus Assessment: anterior fontanel in infant

A

tense, bulging, and non-pulsating

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10
Q

Hydrocephalus Assessment: anterior fontanel sutures in infant

A

separated prior to fontanel bulging

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11
Q

Hydrocephalus Assessment: dilated scalp veins

A

infant

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12
Q

Hydrocephalus Assessment: Frontal bossing

A

Infant

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13
Q

Hydrocephalus Assessment: Setting sun eyes

A

Infant

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14
Q

Hydrocephalus Assessment: eyes appear driven downward bilaterally

A

sun set eyes

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15
Q

Hydrocephalus Assessment: Shining high intensity light

A

Transillumination

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16
Q

Hydrocephalus Assessment: Collect of fluid or air

A

Transillumination

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17
Q

Hydrocephalus Assessment: Behavior changes, such as irritabilty and lethargy

A

Child

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18
Q

Hydrocephalus Assessment: Headache on awakening

A

Child

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19
Q

Hydrocephalus Assessment: N & V

A

Child

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20
Q

Hydrocephalus Assessment: Ataxia

A

Child

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21
Q

Hydrocephalus Assessment: Nystagmus

A

Child

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22
Q

Hydrocephalus Assessment: High, Shrill cry

A

Late sign

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23
Q

Hydrocephalus Assessment: Seizures

A

Late sign

24
Q

Hydrocephalus Surgical Intervention: CSF drains from the lateral ventricle > peritoneal cavity

A

Ventriculoperitoneal shunt

25
Q

Hydrocephalus Surgical Intervention: CSF drains from the lateral ventricle > right atrium

A

Ventriculoatrial shunt

26
Q

Hydrocephalus Surgical Intervention: used in older children and in children with pathological conditions of the abdomen

A

Ventriculoatrial shunt

27
Q

Hydrocephalus Postoperative Interventions: Monitor –

A

VS and Neuro signs

28
Q

Hydrocephalus Postoperative Interventions: Position on –

A

Unoperated side

29
Q

Hydrocephalus Postoperative Interventions: Keep child – to avoid rapid reduction of intracranial fluid

A

Flat

30
Q

Hydrocephalus Postoperative Interventions: Observe for –

A

Increased ICP

31
Q

Hydrocephalus Postoperative Interventions: If increased ICP elevate –

A

HOB to 15-30 degrees to enhance gravity flow through the shunt

32
Q

Hydrocephalus Postoperative Interventions: shunt infection or malfunction - irritability, high shrill cry

A

Infant

33
Q

Hydrocephalus Postoperative Interventions: shunt infection or malfunction - lethargy, feeding poorly

A

Infant

34
Q

Hydrocephalus Postoperative Interventions: shunt infection or malfunction - Headache

A

Toddler

35
Q

Hydrocephalus Postoperative Interventions: shunt infection or malfunction - Lack of appetite

A

Toddler

36
Q

Hydrocephalus Postoperative Interventions: shunt infection or malfunction - Alteration in child’s LOC

A

Older children

37
Q

Hydrocephalus: High, shrill cry in an infant is a

A

Sign of increased ICP

38
Q

Disorder characterized by impaired movement and posture

A

Cerebral Palsy

39
Q

From an abnormality in Extrapyramidal

A

Cerebral Palsy

40
Q

Abnormality in pyramidal motor system

A

Cerebral Palsy

41
Q

Types of Cerebral Palsy (4)

A

Spastic
Athetoid
Ataxic
Mixed

42
Q

Type of Cerebral Palsy: most common clinical type

A

Spastic

43
Q

Type of Cerebral Palsy: Represent an upper motor neuron type of muscle

A

Spastic

44
Q

Cerebral Palsy Assessment: extreme –

A

irritability and crying

45
Q

Cerebral Palsy Assessment: Feeding

A

difficulties

46
Q

Cerebral Palsy Assessment: – motor performance

A

abnormal

47
Q

Cerebral Palsy Assessment: Alterations of muscle tone

A

stiff and rigid arms or legs

48
Q

Cerebral Palsy Assessment: – developmental milestones

A

delayed

49
Q

Cerebral Palsy Assessment: Persistence of primitove infantile reflexes (moro, tonic neck) after –

A

6 months

50
Q

Cerebral Palsy Assessment: Abnormal posturing, such as –

A

opisthotonos

51
Q

Cerebral Palsy Assessment: – may occur

A

seizures

52
Q

Cerebral Palsy Goal

A

early recognition and interventions to maximize child’s abilities

53
Q

Cerebral Palsy Therapeutic Management

A

PT, OT, Speech Therapy, Education and Recreation

54
Q

Cerebral Palsy Meds to –

A

relieve muscle spasms, antiseizure

55
Q

Cerebral Palsy: Position child – after meals

A

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CMPA411 Pedia (5 decks)

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