Name that part!
This part of the brain contains the hypothalamus
Diencephalon
or "interbrain"
You know this system is activated when the patient may complain of a fast heart rate, nervousness, anxiety, their blood pressure is elevated, and they are ready to run....
What is the sympathetic nervous system?
Part of the autonomic nervous system
This diuretic is used to pull fluid off the brain
A portion of the skull is removed and immediately placed back
What is a crainiotomy?
This is the ultimate goal of the autonomic nervous system
What is homeostasis?
This part of the brain is responsible for coordination
What is cerebellum?
This occurs when the right pupil is non-reactive to light and there is a known lesion on the right side of the brain
What is an ipsilateral pupil?
Test that will show glucose and fluid will have a halo around it.
What is CSF Test Tape? You can also test with Accu-Check and Dextrostix.
Think the patient may have increased ICP- see if this newborn reflex is present
What is the Babinski reflex?
Elicit this response by stroking the bottom of the foot. A positive response will cause the the toes to fan outward.
This controls motor movement
What is midbrain?
Monitor VS, I/O, LOC hourly, keep O2 sats >95%, HOB 30-40 degrees
What are Nursing Interventions for increased ICP?
This medication is given to control seizures... but be careful of gingival hyperplasia
What is dilantin?
educate patient on good oral hygiene
What are ABGs
The distance between the systolic and diastolic numbers increases with ICP
What is widened pulse pressure?
Increased systolic blood pressure and decreased pulse are two factors in this triad
What is Cushing's Triad?
This is the first choice medication for emergency administration during a seizure
What is diazepam? Valium
The patient is complaining of a severe headache following a deceleration accident... you walk into the room and see the lights off, a cool washcloth on their head, and the HOB at a 5 degree incline. What is the problem with this scenario?
What is the patient is supine--- increasing ICP
Seeing this most often indicates a skull fracture
What is a bruise behind the ear?
This is the inner most protective layer of the covering of the brain
What is the pia mater?
The patient has their arms adducted and extended with pronation of the hands. The fingers will be flexed along with extended legs and plantar flexion of the feet
What is decerebrate posturing?
This medication is often the last line of treatment for seizures when all other medications have failed to treat seizure activity.
What is tegretol?
These two signs that an infant has increased ICP
What is high pitched crying and bulging fontanelles?
The earliest sign of neurological damage
What is change in LOC?