ICP/LOC
used to assess LOC
What is GSC
Used to reduce cerebral edema
what is Mannitol & Decadron (dexamethasone)
Linear, comminuted, depressed, and basilar
What are types of skull fractures
Originate from cells within the brain
What are Primary brain tumors
It is often used to gain access to the pituitary gland
What is the transsphenoidal approach
The earliest sign of increased ICP
what is the change in LOC
Best nursing intervention for patients with head injuries who are restless and thrashing around
What is pad the side rails
Concussion, contusion, cerebral edema, diffuse axonal injury, and intracranial hemorrhage
what are types of brain injury
Determines brain death
EEG
top priority in the postoperative management of a patient
What is monitor ICP
Bradycardia, widening pulse pressure, changes in respirations
What is Cushings Triad
discharge teaching for a patient with a cerebral aneurysm
What is take antihypertensive medication as ordered
develops as a result of the loss of autonomic nervous system function below the level of injury.
Neurogenic shock
Cause increased risk for stroke
What are angiomas
Involves opening the skull to gain access to the intracranial structures
Craniotomy
increased secretion of ADH, volume overload, diminished urine output, and diluted serum sodium concentration.
What is the syndrome of inappropriate antidiuretic hormone
determination that must be made first in assessing the patient with traumatic brain injury
What is the presence of a patent airway
Acute life-threatening emergency that occurs as a result of an exaggerated response to stimuli
What is autonomic dysreflexia
tinnitus, loss of hearing, episodes of vertigo, staggering gait
what are S&S of acoustic neuromas
corticosteroids, diagnostic imaging, hyperosmotic agent, diuretic, anxiolytics
What are examples of preoperative management for intracranial surgery
the expected outcome of ineffective cerebral perfusion
What is obeys commands with appropriate motor response
results from a decreased secretion of ADH
Diabetes insipidus
Pounding headache, profuse diaphoresis, nausea, nasal congestion, bradycardia, injury above T6
what are signs and symptoms of autonomic dysreflexia
Assistance in self-care
What is nursing intervention for a terminal patient
appropriate nursing intervention for a postoperative craniotomy patient with risk for imbalanced fluid volume related to osmotic diuretic use
What is monitoring serum electrolytes