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NRNP Finals 6560 With Questions And 100% ALL CORRECT ANSWERS
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JACKLINENRNP Finals 6560 With Questions And 100% ALL CORRECT ANSWERS
Terms in this set (235)
Dual impacting of the brain into the skull; coup injury occurs at the point of impact; contrecoup
coup-contrecoup injury
injury occurs on the opposite side of impact, as the brain rebounds.
Primary head injury
profuse bleeding - signs of hypovolemia
Scalp laceration: what, effect, management
Apply direct pressure
Suture/ staple laceration
Lidocaine 1% with epi to control bleeding, not close to nose/ ears
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Primary head injury
Simple: no displacement of bone. Observe and protect spine
Depressed: bone fragment depressing thickness of scull
Surgery for debridement. Give tetanus and seizure precautions
Skull fracture: types, effect, management
Basilar: fracture at floor of skull
Raccoon eye - periorbital bruising
battle's sign: mastoid bruising
otorrhea/ rhinorrhea - halo sign: do not obstruct flow
Give Ab's
Oral intubation and oral gastric instead of nasal
Primary head injury
Concussion: reversible change in brain functioning
loss of consciousness, amnesia
Do not give opioids, admit for unconsciousness greater than 2min
Brain injury: types, effect, management
Contusion: bruising to surface of brain with edema
Frontal and temporal region
Brainstem contusion: posturing, variable temp, variable vital signs
N/V, dizziness, visual changes
seizure precautions
Epidural hematoma: commonly temporal/ parietal region with skull fracture, causing bleeding
into epidural space
Loss of consciousness
Rapid deterioration: obtunded, contralateral hemiparesis, ipsilateral pupil dilation
CT scan (non contrast)
Treatment based on Brain trauma foundation. Surgical if greater than 30cm
Hematoma - neuro: types, effect, management Subdural hematoma
most common type of intracranial bleed
Acute (hours): drowsy, agitated, confused, headache, pupil dilation,
CT scan (noncontrast)
surgery for 10mm thickness or 5mm midline shift or for worsening GCS
Chronic (days): headache, memory loss, incontinence
CT scan (noncontrast)
Surgery: burr holes/ crani
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