Term
| name 5 symptoms of infants with ICP |
|
Definition
| bulding fontanel, irritibility, high pitch cry, change in feeding, setting sun sign |
|
|
Term
| children with ICP have what signs...7 |
|
Definition
| headache, N/V, diplopia, seizures, irritibility, memory loss, decline in school performance |
|
|
Term
|
Definition
| tumor, accumulation of fluid, bleeding, or edema |
|
|
Term
| three parts of the glasgow coma scale are what |
|
Definition
| eye opening, motor response, verbal response |
|
|
Term
| what score indicates coma with GCS |
|
Definition
|
|
Term
| what is the most important neuro assessment |
|
Definition
|
|
Term
| what are 2 reflexes that indicate severe brain damage |
|
Definition
| abscence of corneal and presence of tonic neck reflex |
|
|
Term
| after what age is babinski abnormal |
|
Definition
|
|
Term
| name the two types of posturing |
|
Definition
|
|
Term
| flecion posture indicates what |
|
Definition
|
|
Term
| extension dysfunctiobn indicates what type of dysfunction |
|
Definition
|
|
Term
|
Definition
|
|
Term
| doll's eyes (when you turn head and the eyes do not move in the opposite direction) could indicate what |
|
Definition
|
|
Term
| emergency measure of the unconscious child include what 3 |
|
Definition
| correction of shock, patent airway, decrease ICP |
|
|
Term
| contiuously monitor what with a child who was unconscious |
|
Definition
| LOC, pupillary reaction, V/S |
|
|
Term
| medications given for ICP can include what |
|
Definition
| anticonvulsant, diuretics, abx |
|
|
Term
| in ICP, how is the pt. positioned |
|
Definition
| 30 degrees w/o turning THE HEAD side to side |
|
|
Term
| what nursing intervention should be limited for the child with ICP |
|
Definition
|
|
Term
| what alteration of thermoregulation may happen with icp |
|
Definition
|
|
Term
| 3 major causes of head injury are |
|
Definition
| falls, MVA, bicycle accident |
|
|
Term
| when the brain changes shape and bruises from force of impact |
|
Definition
|
|
Term
| when the brain collides with unyeilding surfaces far removed from the point of impact |
|
Definition
|
|
Term
|
Definition
| traumatically induced alteration in consciousness |
|
|
Term
| a concussion results in what symptoms |
|
Definition
| nausea, vomiting, amnesia, headache (may or may not lose consciousness) |
|
|
Term
| amount of brain injury is related to |
|
Definition
|
|
Term
| signs of minor head injury include what |
|
Definition
| confusion, listlessness, pallor, vomiting, irritability |
|
|
Term
| severe acute head injury results in what symptoms |
|
Definition
| ICP, *buldging fontanel, retinal hemorrhage, loss of movement, unsteady gate |
|
|
Term
| what are some symptoms of a neuroblastoma |
|
Definition
| AMS, falls, change in school performance, HA |
|
|
Term
| a HUGE sign of concussion is what |
|
Definition
|
|
Term
|
Definition
|
|
Term
| where does NB usually metastisize |
|
Definition
| lymph, skin, marrow, liver |
|
|
Term
| after head injury, how should they be positioned |
|
Definition
|
|
Term
| what percautions are instituted with head injury |
|
Definition
|
|
Term
| if HA wakes them up at night, may be a sign of what |
|
Definition
|
|
Term
| better survival rate depends on what of NB |
|
Definition
| age of diagnosis (younger, better) |
|
|
Term
| what are the signs of meningitis |
|
Definition
| neck pain, HA, vomiting, fever |
|
|
Term
| name 2 vaccines that can be given to prevent meningitis in children |
|
Definition
|
|
Term
| what test is doen to dx meningitis |
|
Definition
|
|
Term
| what is bacterial meningitis tx with |
|
Definition
|
|
Term
| what is added to symptoms with viral meningitis |
|
Definition
|
|
Term
| how is meningitis transmitted |
|
Definition
| droplet from nasopharyngeal secretions |
|
|
Term
| kids with meningitis are placed on what precautions |
|
Definition
|
|
Term
| treatment of viral meningitis focuses on what |
|
Definition
| symptom management (fluids, rest, tylenol) |
|
|
Term
| what positioning should not be done with meningitis |
|
Definition
|
|
Term
| all kids with meningitis will be monitored for what |
|
Definition
| shock, resp distress, and ICP, seizures, temp |
|
|
Term
| what is a common complication of meningitis |
|
Definition
|
|
Term
| kids who have meningitis will be on what type of monitor |
|
Definition
|
|
Term
| encephalitis occurs because of what |
|
Definition
| invasion of the CNS of a viral disease |
|
|
Term
| signs of encephalitis include what |
|
Definition
| headache, neck stiffness, nausea, tremors, AMS, speech difficulties |
|
|
Term
| 3 animals that transmit rabies |
|
Definition
|
|
Term
|
Definition
| general malaise, fever, sore throat, apnea, cyanosis, maniacal behavior, seizures |
|
|
Term
| what is important for a provider to ask about rabies |
|
Definition
|
|
Term
| rabies is treated with what two |
|
Definition
| immunoglobulins and vaccine |
|
|
Term
|
Definition
| toxic encephalopathy with organ involvement |
|
|
Term
| pathologically, what occurs with RS |
|
Definition
| cerebral edema and fatty changes to the liver |
|
|
Term
| noticeable symptoms of reye include what |
|
Definition
| profuse vomiting, neurological impairment, |
|
|
Term
| dx of reye syndrome is done with |
|
Definition
|
|
Term
| nursing management of reye include |
|
Definition
| monitor hydration (I/O), lab studies (coagulation, alt/ast) |
|
|
Term
| what leads to good outcomes with reye |
|
Definition
| aggressive therapy and early dx |
|
|
Term
| the tonic phase lasts how long |
|
Definition
| 10-20 seconds (eyes roll, drop, stiffen) |
|
|
Term
| clonic phase lasts how long |
|
Definition
| 30 seconds of violent jerking with foaming at the mouth, incontinence, |
|
|
Term
| postictal phase they are what |
|
Definition
| relaxed, sleepy, difficult to wake up, confused, vomit, HA |
|
|
Term
| involves both hemispheres of the brain without local onset |
|
Definition
|
|
Term
| with partial seizures u do not have what 2 |
|
Definition
| confusion or impaired consciousness |
|
|
Term
| status epilepticus is what |
|
Definition
| greater than 30 minutes or series of seizures when they fail to regain consciousness |
|
|
Term
|
Definition
| meds, ketogenic diet, vagus stimulation, surgery |
|
|
Term
|
Definition
| high fat, low carb, adequate protein |
|
|
Term
| side effects of ketogenic diet is what |
|
Definition
| lethargy, stones, constipation, wt loss |
|
|
Term
| epilepsy is a hx of how many seizures |
|
Definition
|
|
Term
| how long are they on seizure meds when seizure free |
|
Definition
| 2 years, then decrease and stop meds |
|
|
Term
| if a febrile seizure lasts more than 5 minutes, what should they do |
|
Definition
|
|
Term
| febrile seizure is caused by |
|
Definition
| fever or electrolyte imbalance |
|
|
Term
| for a febrile seizure, tmep is usually around |
|
Definition
|
|
Term
| when the frontal part of the head is buldging |
|
Definition
|
|
Term
| sings of hydrocephalus are what |
|
Definition
| depressed eyes, setting sun sign, headache relieved by vomiting or sitting up, strabismus, confusion |
|
|
Term
|
Definition
| direct removal of obstruction or place a VP shunt |
|
|
Term
| name to complications of shunt placement |
|
Definition
| infection and shunt malfunction |
|
|
Term
| what is monitored with hydro |
|
Definition
| ICP, measure head circumference daily, LOC |
|
|
Term
| after shunt placement how is the child positioned |
|
Definition
| flat and on unoperative side |
|
|
Term
| what is important to assess to detect malfunction of the shunt |
|
Definition
|
|
