WEEK 9 Flashcards
neuro: traumatic brain injury, brain tumor
indications of head injury : what is it ?
scalp wound
fracture
swelling, bruising
loss of conciousness
nasal discharge
stiff neck
head injury : emergency management interventions
initial scene
what would you do ?
calm gentle approach, get info from patient or others with the pt - what happened ? ( did the person lose conciousness )
head injury : emerg management interventions
what is the number one thing that is very important in this case ( aside from conciousness )
patent airway, stabilize cervical spine until x-ray
head injury : emergency management interventions : initial at scene : what would you do if a pt walks in with an external bleeding ?
apply pressure to external bleeding, warm blankets
Head injury : emerg management interventions : initial at scene what would you assess for ?
rhinorrhea/ ottorrhea / scalp wounds
head injury : emergency management interventions
once have access to hospital
02 via NP or re breath mask
establish 2 large bore IVs ( large gauge cannula )
true or false. do we give iv fluid cautiously, give drugs to decrease icp and increase cpp , control pain, seizures when the pt has an access to hospital. ( we are talking about a head injury : emerge management interventions )
yes this is true
is it important for the patient to be warm once have access to hospital ?
yes it is important especially for a patient who had a head injury : emerg management interventions this is something that we would do
what are the type of monitoring we are doing for our head injury pts as an emerg management interventions ?
frequent VS neuro checks ( monitor for change in LOC )
true or false ongoing monitoring of VS, 02 SATS, cardiac rhythym , GCS pupils and limb strength is something we need to utilize once the patient has an access to the hospital when they had a head injury ?
yes this is true
what do we need to ask the patient ( if they have a head injury : emerg management interventions and have an access to the hospital ) ?
ask for pt health hx, allergies, meds: provide support for patient and family
what type of health history are we going to ask the patient ?
diabetes
hypertension ( think abt allergies and medications )
what could we do physically to access the pt?
cns fluid flowing out their ears ( look for blood and clean their hair ) looking for wounds
usually anticobital - this gives fluid
what duration of ays is typically intense for a traumatic brain injury ?
first 5 days is intense ( and monitoring should be happening during these 5 days )
what is the severity range for traumatic brain injury :
severity range : mild ( concussion) , moderate, or severe ( traumatic brain injury TBI )
who are working on traumatic brain injury ? and what can it lead to ?
typically neurosurgery is an intervention/ working with physician/team
this could lead to impairment in cognition, mobility, sensory perception, psychosocial function- temporary or permanent
traumatic brain injury ; presentation depends on what ?
severity of the injury - speed and force
location :
- frontal, occipital, parietal , basilar
- focal or diffuse , open or closed
surgery - may depend on locstion of injury
what is the diagnoses for traumatic brain injury
CT head - repeat CT scan and compare
true or false. Make sure infection doesn’t become significant.
true
what is consider different level of injury ?
fell in the head or hitting a bat ( different level of injury )
what is basilar?
is at the base of the skull
what does focal or diffuse mean or open or closed ?
focal or diffuse means in a certain spot ( diffuse mean all through the brain )
open means skull fracture and been broken
close means the skull hasn’t been fracture and all intact
what does a mil concussion look like ?
may not feel great but the next day feel good, and then doing sports/work
what does frontal lobe affect ?
intellect