Lab values important to assess in client's on corticosteroids.
What is glucose & CBC?
This is a complication associated with a ventriculostomy. It is characterized by a fever, cloudy CSF, and elevated WBC count.
What is infection?
Medication utililized in reducing brain metabolism that requires monitoring of burst suppression.
What is pentobarbital?
This condition is characterized by postauricular & periorbital ecchymosis, rhinorrhea, & otorrhea.
What is a basilar skull fracture?
This assessment tool utilizes eye opening, verbal response, & motor response. The maximum score is 15 & minimum score is 3.
What is the Glasgow Coma Scale?
This complication is caused by draining too much CSF.
What is ventricular collapse?
This medication decreases ICP by moving fluid out of brain tissue into the vessels. Must watch I&O, BP, F&E, and osmolality.
What is mannitol?
Neuro condition characterized by fever, decreased LOC, photophobia, and nuchal rigidity.
What is meningitis?
The term for pressure needed to ensure blood flow to brain. Normal is 60-100mmHg
What is cerebral perfusion pressure (CPP)?
This procedure should be avoided with increased ICP. Clients should remain on bedrest 4-6 hours following this procedure and increase fluid intake.
What is a lumbar puncture?
This is a complication of administering a head injury client a hypotonic fluid.
What is cerebral edema?
This medication is used for seizure treatment. You must watch levels (10-20). The client is at risk for Gingival hyperplasia& Steven's Johnson Syndrome. Can only be mixed with Normal Saline
What is phenytoin (Dilantin)?
This condition is characterized by an abrupt onset of unilateral burning, knifelike pain of the face with twitching, grimacing, and blinking.
What is trigeminal neuralgia?
This is the term for bradycardia, widened pulse pressure, hypertension, and irregular respirations associated with high ICP.
What is Cushing's Triad?
This procedure involves opening the skull to remove, repair, or drain then reattaching flap with wire.
What is a craniotomy?
These medications are given to control Diabetes Insipidus.
What is vasopressin & desmopressin (DDAVP)
This condition is characterized by loss of myelin that causes ascending paralysis.
What is Guillian-Barre Syndrome?
The term for abnormal extension & hyperpronation of the forearms with plantar flexion of the feet. It involves interruption of voluntary tracks in cerebral cortex.
What is Decerebrate Posturing?
These tests need to be completed prior to beginning antibiotics.
What are cultures?
This complication is caused by obstruction of CSF flow due to edema.
What is hydrocephalus?
This type of fluid is the best choice for client's at risk for increased ICP?
What is 0.9% sodium chloride (normal saline)?
This type of condition is an injury that occurs when the brain strikes the skull surface opposite of the site of the original impact.
What is a contrecoup injury?