TBI Flashcards
TBI LEVELS
LOC / Coma > 24
Post traumatic amnesia > 24 hrs
Imaging is abnormal
Severe
Classes of TBI
LOC 1- 24 HRS
Post traumatic amnesia 1 - 24 hrs
Imaging appears abnormal
Moderate
Classes of TBI
LOC few seconds/ minutes
Post traumatic amnesia <1 hrs
Imaging most often normal
Mild
Why will TBI patients use sunglasses
Reduce stimulus
TBI
Avoid these types of medications (2)
Lower seizure threshold: Wellbutrin & typical antipsychotics
Cause confusion: Lithium, Benzos, Anticholinergic
Epilepsy is defined as….
2 or more seizures with an unknown cause within 24 hrs.
Imbalance of this neurotransmitter is the cause of epilepsy
GABA
No brain lesions
Affects both sides of the brain
Motor / non motor seizures
Starts in childhood
Generalized epilepsy
Brain lesion or trauma
Affects 1 side of the brain
(Non)/ Motor seizures
Confusion, mood swings, hot / cold flashes
Absence of seizures
Focal epilepsy
Metabolic Disorders
Acute alcohol withdrawal
Electrolyte imbalance
Heart disease
Non-neurological causes of Seizures
Generalized motor seizures
Describe….
Tonic-clonic (grand mal)
Tonic = Stiffness
Clinic = rhythmic jerking
Last about 2 minutes
Incontence
Fatigue for 1 hrs after event
Generalized non-motor seizures
Describe….
Petit-mal
Stare into space
Sudden short lapse of consciousness, confusion, mood swing
Mouth / hand movements
When to call 911 for seizures
ABC
>5 Mins
2nd seizures soon after first
Trouble regaining consciousness
Seizures that last >30 minutes or occur in rapid series…
Status epilepticus
These medications do what to seizures
Dilantin
Cerebyx
General anesthesia
Prevent recurrence
