Quiz 2 Flashcards
What types of hematomas occur in TBI?
- Epidural (dura mater - skull)
- Subdural ( dura mater - arachnoid)
- Intercerebral (In the cortex)
Generalized response
Stage 2
Confused Inappropriate
Stage V
- Keep it simple
- 60% to 90% Age MHR Aerobic (20-40min)
- 3 Sets 8-12 Reps Max (2-3 days/
In early medical management, cerebral perfusion should be kept at ___.
> 60mmhg
What is known as ruptured bleeding into spaces with symptoms clinically similar to CVA?
Hemorrhage
Which stages are confused and agitated in the Ranchos Los Amigos Scale?
Stage 4
No response
Stage 1
In early medical management, systolic blood pressure should be kept at ____.
> 90mmhg
Localized Response
Stage 3
What does a GCS of 3-4 mean?
Death
Which stages are vegetative in the Ranchos Los Amigos Scale?
Stages 1-3
What are characteristics Mild TBI?
- Less than 30min unconscious
- Normal CT scan
Confused Agitated
Stage 4 ( Need consistancy/Expect Egocentricity) - Open ended questions
What is the score for severe coma in GCS?
*8 or less
How is elevated ICP treated?
- HOB 30 degrees
- Surgical decompression
- Sedations
- Barbiturates
- Osmotherapy
- Hypotherapy
What is the score for moderate coma in GCS?
*12-9
What is known as localized collection of blood outside the vessels within a tissue?
Hematoma
What types of hemorrhages occur in TBI?
- Intercerebral (Rupture of cerebral vessel)
- Subarachnoid (Bleeding into space, Aneurysm, AVM)
What is the most powerful predictor of outcome for TBI?
Glasgow Coma Scale (GCS)
What is the goal of early medical management?
Control brain swelling and promote brain perfusion
In early medical management intracranial pressure should be kept at ____.
< 20mmhg
What is the score for mild coma in GCS?
*15-13
