TBI in PFC Flashcards
a glasgow coma scale score of 13-15 indicates a TBI severity classification of
mild, lower score is more severe
a glasgow coma scale score of 9-12 indicates a TBI severity classification of
moderate
a glasgow coma scale score of 3-8 indicates a TBI severity classification of
severe
T/F In no circumstance should measurement of neurologic examination take priority over a optic nerve sheath diameter, and all results must be considered in the context of the neurologic examination and overall patient status.
false
T/F visualizations of spontaneous venous pulsations with an othalmoscope can reassure providers that ICP is not critically elevated
true
what is the target blood pressure in polytrauma patients with ongoing bleeding and suspected traumatic brain injury?
greater than 110 systolic
what is the goal urine output in a polytrauma patient with a suspected TBI
30-50ml/h
T/F colloids and he starches are the preferred fluid for TBI patients
false
If GCS score is ≤ __ or there is facial trauma with compromised airway, a definitive airway is most likely needed.
8
Every effort should be made to optimize airway placement on the first attempt by ______
preoxygenating with supplemental O2
T/F Patients typically require less sedation after cricothyroidotomy than after ETT placement.
true
what are measure to reduce ICP
elevate head of bed, maintain neck in midline, maintain SaO2 above 90%, maintain EtCO2 between 35 and 40, core temp between 96 and 99.5, SBP above 110
what potentially adverse complication can mannitol cause in a TBI patient
lower BP
when treating patient with a TBI what is the best antibiotic option?
Ceftriaxone, cefazolin
what are the signs of a non-convulsive seizure in TBI patients?
coma, delirium, agitation, aphasia (impairment of language affecting production and/or comprehension of speech, reading, and/or writing) and/or “blank staring.
