Student Traumatic Brain Injury with Increased Intracranial Pressure 2018.docx

G is unresponsive to tactile stimuli the left pupil

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2 hours after admission, D.G. is unresponsive to tactile stimuli. The left pupil is fixed and dilated to 7 mm. The trauma surgeon suspects D.G. has developed an epidural hematoma. 6. What emergency procedure can be done to evacuate an epidural hematoma? 1 point Answer: craniotomy, burr-holes, craniectomy if extreme swelling Burr-hole (fastest route to getting evacuated) 7. What additions or changes might you see in D.G.’s care? 1 point Answer: monitor body temp, keep evaluating pupils, Cushing’s triad Adjust ventilator to give hyper-ventilation, give mannitol, diuretic that works on brain tissue 8. What are the common complications of traumatic brain injuries and how can risk for complications be diminished? 2 points Answer: malnutrition, OG tube giving tube feedings, early feeding within 3 days, or TPN; muscle atrophy, do ROM exercises for patient and with patient if awake; bowel and bladder management, ostomy, foley cath Brain herniation, can happen when there is cerebral edema; maintain cerebral perfusion; potential for DIC; brain abscess; recurring bleeding in brain; prevent meningitis
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  • Spring '12
  • Traumatic brain injury, D.G.

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