Week 5 - Neuro Notes .docx - Week 5 Neuro Pediatric Differences \u2022 Infant Brain \u2013 Develops rapidly until age 4 \u2013 Suture lines between skull bones

Week 5 - Neuro Notes .docx - Week 5 Neuro Pediatric...

This preview shows page 1 - 4 out of 9 pages.

Week 5 - Neuro Pediatric Differences Infant Brain Develops rapidly until age 4 Suture lines between skull bones ossified by age 12 Myelination Coordination Motor skills Altered States of Consciousness Altered LOC = Neurologic Dysfunction Assess Alertness and cognitive power Glasgow Coma Scale Different criteria for infants and older children Decline in LOC follows a pattern of confusion, delirium, obtundedness, stupor, to coma Injury by Severity Concussion or mild brain injury 13-15 GCS Moderate brain injury 9-12 GCS Loss of consciousness Severe Brain Injury 8 or less GCS Coma Increased ICP Altered States of Consciousness (cont.) Intracranial Pressure (ICP) Increased ICP Can Cause Damage Early Signs Headache Visual disturbance Nausea/vomiting Pupils unequal or slow Lethargy Infants : increased head circumference, bulging fontanels Intracranial Pressure (ICP) Late Signs Significant LOC decrease, Increased systolic BP and pulse pressure Bradycardia Irregular respirations
Image of page 1
Week 5 - Neuro Fixed, dilated pupils Cushing’s Triad Increased Systolic Decreased Diastolic Bradycardia Widening Pulse Pressure Irregular Respirations Hydrocephalus- clinical manifestations Newborns and infants Bulging fontanels Increased head circumference Sun set eyes Irritability High-pitched, catlike cry Visible scalp veins Children Headache Visual disturbance Nausea/vomiting Pupils sluggish Decrease in consciousness Seizures Cushing’s Triad Widening pulse pressure Bradycardia Irregular respirations Seizures Most common neurologic dysfunction in kids Caused by malfunctions of brain’s electrical system Infections or high fever Chemical imbalance of the body that causes loss of metabolism Congenital conditions or trauma Genetic factors and family history Brain tumors and neurological problems Habits of the mother like smoking, alcohol consumption, drugs and certain medications Types of Seizures Absence (3-12 years old)5-10 sec. Lip smacking, staring, twitching, brief loss of consciousness Partial (focal)
Image of page 2
Week 5 - Neuro Less than 30 sec., one extremity Generalized (tonic-clonic or grand mal) Febrile Dependent Epilepsy – Chronic disorder Febrile Seizures Usually higher than 38.9 C or 101F Usually short in duration. Instruct parents to call 911 if longer than 5 minutes Use antipyretics and cooling measures Seizure Disorders Partial or Generalized Record Time start and stop Aura? Triggers?
Image of page 3
Image of page 4

You've reached the end of your free preview.

Want to read all 9 pages?

  • Fall '18
  • Intracranial pressure, Traumatic brain injury, Headaches, Hydrocephalus, Seizures

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture