Traumatic Brain Injury (TBI)

Question 1

What is a traumatic brain injury

Answer 1

disruption of brain function due to trauma

EX: penetrating object in the skull

Question 2

Classical S/S of traumatic brain injury

Answer 2

-decreased LOC
-Cushing’s traid (think TBI
sysTolic hypertension, Bradycardia, Irregular breathing)

Question 3

What does Cushing’s Triad indicate

Answer 3

S/S of increased ICP

Question 4

What medication will be used to decrease, increased ICP

Answer 4

mannitol

Question 5

Nursing care for emergency care of traumatic brain injury

Answer 5

• stabilize the cervical spine!!!!!!!

- maintain airway

Question 6

What should be monitored during a traumatic brain injury

Answer 6

• V/S
• LOC
• EKG

Question 7

Nursing interventions to decrease, increased ICP

Answer 7

• avoid suctioning
• raise HOB 30 degrees
• keep head midline
• hyperventilate pt (to reduce amount of co2)

Question 8

What should be avoided in a patient who has traumatic brain injury

Answer 8

• avoid coughing
• avoid blowing nose
• avoid restrictive clothing
• avoid neck flexion/extension