ENPC Test with Questions and Answers
Seizure Inteventions ANSWER turn pt on side
provide safe environment
check bedside glucose
manage fever as a cause or a result
if seizure lasts longer than 5 minutes consider benzos
give antiboitcs for infection
hyponatremia =3% sodium chloride
Seizu...
Symptoms of TBI (concusion) are organized into what four catagories? ANSWER
Thininking and remembering
physical
emotional/mood
sleep
Secondary impact syndrome ANSWER 2nd brain injury before the first one is healed. Brain
cannot auto regulate CPP
Causes massive brain edema and herniation
, proper infnat/toddler head positioning with spinal percautions ANSWER place padding under
shoulders of infant to achieve neutral alignment
have parent directly above pt so pt is not turning head
reverse trandeleburg to reduce anxiety
Neurogenic Shock ANSWER Injury above T6 results in bradycardia, hypotension, and
vasodilation, thermoregulatory instability
Spinal shock ANSWER flaccid muscle tone below thei njury and decreased sensation at and
below the level of injury
kids who do not need a spine board ANSWER compliant child
absence of distracting injury
absence of alcohol
GCS 15
absence of spine tenderness/neurologic findings
Orbital fracture interventions ANSWER topical vasoconstrictor to stop bloody nose
avoid blowing nose
analgesics
ice
elevate HOB
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