Slips Trips and Falls

TBI

100

Signs and symptoms of Early TBI (3 things)

a.    Headache

b.    N/V

c.    Amnesia

d.    Altered LOC

e.    Restless, drowsiness, changes in speech, loss of judgement

200

High risk patients for a subdural bleed are:

• Elderly
• Those on anticoagulants
• Chronic alcohol users

300

Cerebral Perfusion Pressure equals

CPP= MAP – ICP

400

What is a subdural bleed?

Venous bleeding from the bridging veins

MSK

100

Hip Fracture blood loss:

1,000mls to 1,500mls

200

What is considered an open fracture?

Any cut over a fracture

300

What medications need to be given in an open fracture?

• Antibiotics
• Tetanus

400

FOOSH stands for:

Fallen onto an outstretched hand

Nursing Care

100

Nursing assessment for TBI (3 things)

• Changes in LOC
• Pupillary Changes
• Trends in vitals
• Signs and symptoms of increased intracranial pressure
• Changes in sensory and motor function

200

Key things for discharge planning:

• Discharge instructions
• Home supports
• When to return

300

Nursing considerations to decrease ICP:

• HOB 30 degrees
• Keeping their neck in a neutral position
• Decrease stimuli 
• Maintaining normal body temperature
• Maintaining normal oxygen levels

400

What is cushings Triad?

• Hypertension (widening pulse pressure)
• Bradycardia
• Changes in respirations