Reflexes absent reflexes 15Vomiting EXORCICE projectile vomiting 16Decerebrate

Reflexes absent reflexes 15vomiting exorcice

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14.Reflexes? absent reflexes 15.Vomiting? EXORCICE, projectile vomiting 16.Decerebrate is the worst of the 2 positioning Treatment increased ICP
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1. Mannitol #1 medication, it pulls fluid from brain cells to decrease ICP and puts it into general circulation * LOOK AT FLUID VOLUME LEVELS, ELECTROLYTES* 2. Can put them in an excess fluid volume, give diuretics 3. Why are we giving mannitol? Increase ICP a. How do we know it’s working? i. LOC changes ii. BP normalizing 4. Keep temperature low, decreased stimuli 5. Avoid anything that will increase pressures 6. Bowel and bladder programs 7. Avoid hip flexion Spinal Cord Injuries 1. Autonomic dysreflexia a. Know S/S: BRADYCARDIA, SEEING SPOTS, ANXIOUS, BLURRED VISION b. 3 RF? Bladder distention, bowel distention, T6 injury c. They will have foley catheters d. Closely monitor ICP on these patients i. If interventions don’t help the increased ICP, we have an issue e. Monitor Glasgow coma scale, know scale # f. Pulse? Bradycardia g. BP? Systolic >150 h. Ventriculostomy infection risk! What do we do to prevent infection i. C2-C3 area, not talking most likely dead j. C4 area, respiratory damage k. T6 or above, cardiac or autonomic dysreflexia l. Hypotensive pt’s,
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  • Spring '17
  • collins
  • Traumatic brain injury, Spinal cord injury

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