TBI Flashcards

1
Q

after the first TBI, the risk for a 2nd TBI increases…

A

3 times

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2
Q

after the 2nd TBI, the risk for a 3rd increases….

A

8 times

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3
Q

insult to the brain, not of degenerative or congenital nature. Caused by external physical force

A

TBI

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4
Q

head injury that is more diffuse in nature. Diffuse axonal injury

A

closed head injury

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5
Q

visible injury to brain caused by specific force to head. Located to focal part of brain

A

open head injury

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6
Q

6 phases of concussion recovery

A
  1. rest
  2. light aerobic/no resistance
  3. sport specific ex
  4. non-contact drills
  5. full contact
  6. game play
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7
Q

concussion recovery time frame

A

1 week minimum w/ out symptoms

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8
Q

physical changes associated w/ TBI (4) similar to SCI

A
  1. paralysis (1 or both sides)
  2. balance
  3. spasticity
  4. speech
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9
Q

systemic changes associated w/ TBI (4)

A
  1. incontinence
  2. headache
  3. seizures
  4. vitals
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10
Q

cognitive changes associated w/ TBI (4)

A
  1. memory
  2. concentration
  3. reading/writing
  4. organization
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11
Q

behavioral/emotional changes associated w/ TBI (4)

A
  1. egocentric
  2. frustration/aggressive
  3. no filter
  4. depression
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12
Q

8 stages of TBI recovery RLA

A
  1. no response
  2. generalized response
  3. localized response
  4. confused-agitated
  5. confused-inappropriate
  6. confused-appropriate
  7. automatic-appropriate
  8. purposeful-appropriate
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13
Q

no response to external stimuli. Pt appears to be in a deep sleep

A

level 1: no response

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14
Q

emerging signs of arousal. Reflexive, inconsistant response to stimuli. Eye opening

A

level 2: generalized response

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15
Q

signs of awareness. responds to pain. blinks w/ light

A

level 3: localized response

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16
Q

confused, aggressive, combative. Hyper alert and restless. Paranoid w/ hallucinations

A

level 4: confused agitated

17
Q

confused, agitated, highly distractable and needs constant re-direction. No new learning. Can communicate w/ old memories (sports, things they know) social automatic level.

A

level 5: confused inappropriate

18
Q

awareness of situation. Requires external cues to complete tasks. Max A w/ new learning. Confuses past and present

A

level 6: confused appropriate

19
Q

appears appropriate. Able to complete highly familiar tasks. Egocentric. Inappropriate social behavior

A

level 7: automatic appropriate

20
Q

handles multiple tasks in all environments. Socially appropriate. Acknowledges others’ feelings. May require breaks

A

level 8: purposeful appropriate

21
Q

level 1 =

A

no response

22
Q

level 2 and 3 =

A

decreased response

23
Q

level 4, 5 and 6 =

A

confused

24
Q

level 7 and 8 =

A

appropriate

25
Q

on the Glasgow Coma Scale (0-15), a coma is defined as…

A

8 or less

26
Q

PT phases for TBI (3)

A
  1. minimally conscious phase (1-3)
  2. structured phase (4-5)
  3. community re-entry phase (6-8)
27
Q

ROM, WB, upright, airway management, family education

A

minimally conscious phase (1-3)

28
Q

“do whatever you can!”, simple exercise, cognitive activities. NO NEW LEARNING

A

structured phase (4-5)

29
Q

balance, strength, safety, pt education, cognitive activities w/ specific areas of difficulty

A

community re-entry phase (6-8)

30
Q

Dilatin, phenobarbital, keppra

A

anticonvulsants

31
Q

ritalin

A

stimulants

32
Q

dantrium, baclofen, xanaflex

A

antispasticity

33
Q

ativan, xanax, zoloft

A

anti-anxiety

34
Q

haldol

A

antipsychotic

35
Q

seroquel, depakote, celexa, trazadone

A

mood stabilizers and sleep regulation