TBI Flashcards
how can we classify TBI
glascow coma scale
what is the glascow coma scale
rates the following behaviors:
-eye opening response
-verbal response
-motor response
what is the mild TBI GCS score
13-15
what is the moderate GCS score
9-12
what is the severe GCS score
3-8
describe mild TBI
brief if any loss of consciousness
vomitting and dizziness
lethargy
memory loss
describe moderate TBI
unconscious up to 24h
signs of brain trauma
contusions of bleeding
signs of injury on neuroimaging
describe severe TBI
unconsciousness exceeding 24h
no sleep/wake cycle during LOC
signs of injury on neuroimaging
true or false: TBI has both primary and secondary complications
true
what are the goals of early medical management
stabilize medical condition
treat other injuries
reduce intracranial pressure
what are some secondary complications
increased intracranial pressure
malnutrition
decreased cognitive function
agitations
complications from intubation
what are disorders of consciousness
coma
vegetative state
minimally conscious state
define coma
eyes closed
no sleep/wake cycle
define vegetative state
inability to interact with others, but capacity for spontaneous arousal or response to stimuli
sleep/wake cycle
define minimally conscious state
inconsistently follows simple commands
inconsistently has intelligible verbalization
inconsistently moves or has emotional response triggered by response
what is the rancho los amigos
rates TBI
what is R1
no response
total assistance
coma
what is R2
generalized response, total response
vegetative state
reacts inconsistently not directly to stimuli
what is R3
localized response; total assistance
reacts inconsistently to stimuli
head may turn toward a sound
may follow simple commands
what is R4
confused, agitated, maximal assistance
agitated
hyperactive w/ bizarre and non-purposeful behavior
what is R5
confused, inappropriate, nonagitated, maximal assistance
not oriented to time place or time
increase in following and responding to simple commands
memory is severely impaired
behavior and verbalizations are severely impaired
what is R6
confused, appropriate, moderate assistance
able to follow simple commands
increased self awareness
able to relearn routine activities
remote battery is better
what is R7
automatic appropriate minimal assistance for daily living skills
attendance for 30min
strengths w/ self monitoring
lack of judgement and insight
what is R8
independent at home
starting to show awareness
able to use assistive memory devices
improvement of memory