Pediatrics Neurologic Flashcards
_______ is increased accumulation of cerebrospinal fluid.
Hydrocephalus
An ____ drains cerebrospinal fluid.
EVD
You should ____ the EVD when repositioning.
clamp
The EVD should be leveled with the ____.
tragus
A VP shunt drains extra CSF into the ____ where it can be excreted as urine.
abdomen
A ventricle is ____ in the brain.
space in the brain
Can patients with a VP shunt travel on an airplane?
yes
Can patients with a VP shunt use an MRI?
yes
_____ _____ in peds is d/t damage to immature brain most often before birth.
Cerebral Palsy
Cerebral Palsy causes disorder in ____, ____ tone, and ____.
movement, muscle tone, and posture
What are some movement/coordination assessment findings you will see in CF patients?
- tremors
- ataxia (loss of muscle control)
- stiff muscles
- spasticity (abnormal muscle tightness)
CF patients struggling with speech and eating can develop ____ ____ _____.
failure to thrive
There is no ____ for CP.
no cure
Since patients have spasticity they take muscle relaxants such as _____.
baclofen
The nervous system develops from the ____ ____.
neural tube
low ___ ___ intake can impair neural tube development.
folic acid
Spina bifida is d/t failure of the ____ to close with protrusion of neural tube contents.
vertebrae
Meningocele is a ___ spina bifida.
closed
Myelomeningocele is an ___ spina bifida.
open
_____ protrusion of spinal fluid - filled meninges through a vertebral defect.
meningocele
____ is protrusion of spinal fluid-filled meninges AND the spinal cord through a vertebral defect.
myelomeningocele
Which spina bifida is less severe?
closed meningocele
What is a key assessment you will see in newborn patients with spinabifida.
sacral dimple or tuft of hair
Patients should be in ___ position pre-op before surgery.
prone position