Term
| What are the types of Spina bifida? |
|
Definition
|
|
Term
| What are indications of spina bifida occulta? |
|
Definition
|
|
Term
| What should you during preop care for a myelodysplasia patient? |
|
Definition
1. Cover the sac with a sterile dressing
2. Monitor fo CSF leakage
3. Place an infant in the prone position with knees slightly flexed
4. Assess for bowel & bladder function
5. Monitor for signs of infection
6. Feed with head turned to one side
7. Avoid latex products |
|
|
Term
| What should you during postop care for a myelodysplasia patient? |
|
Definition
1. Monitor wound healing
2. Monitor for signs of infection
3. Monitor for signs of hydrocephalus (ICP)
4. Place in prone or side lying position
5. Measure head circumference daily
6. Ass I/O
7. Avoid Latex |
|
|
Term
| What are the causes & typesof hydrocephalus? |
|
Definition
Communicating
1. Too much CSF
2. CSF not reabsorbed
Non communicating
3. Obstruction to the flow of CSF |
|
|
Term
| How is hydrocephalus diagnosed? |
|
Definition
1. Ultra sound if under 18 mos
2. Measure head circumference
3. Bulging fontanels
4. Sunset sign
5. ICP signs
6. Widening sutures |
|
|
Term
| What should you include in caring for a hydrocephalus patient? |
|
Definition
1. Measure the head circumference daily
2. Observe for signs & symptoms of increased ICP
3. Neuro assessments
4. Monitor for signs of shunt malfunction such as vomiting & seizures
5. Position child in supine- gradually raise the head of the bed |
|
|
Term
| What is the treatment for hydrocephalus? |
|
Definition
|
|
Term
| What are long term complications from hydrocephalus? |
|
Definition
| Joint contractures, dislocations of joints, scoliosis, fractures, decubiti, renal problems, stool leakage, will not have normal brain function |
|
|
Term
| How can you tell the difference between regular CSF & Mucous? |
|
Definition
|
|
Term
| How do you assess bowel and bladder movement in infants? |
|
Definition
|
|
Term
| What are signs of increasing ICP in infants? |
|
Definition
| Fussy, febrile (however they may go low in temperature) |
|
|
Term
| Why can parent prevent UTIs for patients with neurogenic bladders? |
|
Definition
| Straight catheter every 4 hours |
|
|
Term
| What is a chari malformation? |
|
Definition
| The brain tries to push its way thru the foramen magnum. |
|
|
Term
|
Definition
| The Spinal cord is stuck as the child grows that causes spasms |
|
|
Term
| What should be taught to parents of a hydrocephalus patient? |
|
Definition
Teaching about the medications
Signs & symptoms of shunt malformation
Basic Neuro signs |
|
|
Term
| What percentile should be the normal head circumference of a child? |
|
Definition
| The same percentile as the height and weight |
|
|
