Hydrocephalus
Assessment: Shiny scalp; greater than 98% for head circumference, high pitched cry, bulging fontanels
What are the signs of hydrocephalus in an infant?
The patient is obtunded, confused, disoriented, in a stupor
What is altered LOC
Typical signs that correlate a diagnosis of Parkinson's.
What are resting tremors, stiffness, and slowness of movement?
These items are set up at the bedside: Oxygen tubing, two to three padded bedrails up, suction.
What are seizure precautions?
Have the patient lie flat on bedrest for 6-8 hours, Encourage hydration, patient is due to void, provide analgesics
What are nursing responsibilities after a lumbar puncture?
The treatment for accumulation of CSF that is enlarging ventricles
What is a VP Shunt
The categories are Eye Opening, Verbal Response, Motor Response
What is the Glascow Coma Scale?
Thought to be the two causes of Parkinson's
What is genetics or environmental causes?
Opening the jaw, suctioning the client, restraining the client, Have the client lie on back
What are things not to do during a seizure?
College campuses and military barracks
Where are outbreaks of Neisseria meningitis likely to occur
Test used to remove 30-50ml of CSF to confirm diagnosis
What is a lumbar puncture?
When measured it is 5 - 15 mmHG.
What is a normal ICP?
The things you would teach your patient with Parkinson's to do for optimal health.
What is eat healthy, exercise, take medications as prescribed?
Alcohol withdrawal, hyponatremia, Fever, hypoxia, closed head injury
What are potential causes of fever?
The thigh of the client is flexed on the abdomen, then the leg cannot be completely extended
What is kernig's sign?
The teaching of parents of post VP Shunt discharge to watch for Poor feeding, fever, headache, sleepiness
What are VP shunt signs of complication and infection in a pedi patient?
The pressure exerted by the volumes of the brain, CSF, and venous/arterial blood
What is Intracranial Pressure?
These type of neurons are lost with the development of Parkinson's disease.
What are dopamine producing neurons?
chewing of the tongue, intense rigidity of the body, loss of bowel or bladder control, impairment of consciousness
What could happen during a seizure?
Meningoccocal vaccine at ages 11 to 12 years of age with a booster after 16 years of age.
What is prevention of meningitis?
communicating, noncommunicating, normal pressure, Ex vacuo
What are types of hydrocephalus?
Increased systolic BP, decrease pulse, decrease RR
What is Cushings Triad?
Medication thought to restore dopamine levels in brain and reduces tremors, bradykinesia, & rigidity.
What is Levadopa
The patient slowly regains consciousness; confusion/disorientation, headache, muscle aches, fatigue, amnesia, Sleepy
What is post-ictal phase?
What are nursing interventions for meningitis?