Question

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Please help to answer these question

1. A 4 month old with a history of hydrocephalus has undergone surgery for placement of a VP shunt and is ready for discharge.

VP1. What is hydrocephalus?

VP2. What would you monitor for? (What would you have been assessing during her stay?? (Think it was a surgical placement AND related to ICP)

VP3. What information would you include in the teaching plan?

2. A 10 year old is admitted to the pediatric unit after experiencing a seizure. A complete and accurate history from a reliable source is essential.

Seizure 1. Briefly describe the different kinds of seizures.

Seizure 2. What information would you ask for while obtaining a history?

Seizure 3. How would you protect this patient during his seizure?

Seizure 4. What would you anticipate treating this ongoing seizure with?

Answer 1

1)1.Hydrocephalus term itself refers to hydro =water and cephalus= brain.Therefore it is the accumulation of fluid or water in the cavity of the brain.This cavity ha termed to be ventricle.

2.The following things has to be monitored for

• Assess the neurological status of the child for consciousness, irritability
• Bulged anterior fontanelles
• Enlarged head
• The cry of the child which are generally high pitched
• Sucking reflex can be checked
• Assess for any fever,vomiting
• Monitor ICP

3.The following information has to be included in the teaching plan

• Report on case of new signs and symptoms in the infant
• Keep the surgical site dry and clean
• Regular follow ups

2) 1.The different kinds of seizure are

• Grand mal seizure where patients loss their consciousness and develop muscle rigidity
• Tonic seizure refers to muscle stiffness ,loss of breathing
• Clonic seizure refers to involuntary movements of the entire body parts
• Myoclonic seizure are intermittent type of seizures
• Atomic seizure the sensation is lost in the limbs
• Absence seizure refers to loss of consciousness for few seconds and can occur throughout a day en number of times with no patient self realization

2.The following information has to be asked

• Any facial droppings, loss of limb function, and difficulty of the child to converse
• How long the seizure lasted
• Any is the child has any history or family history
• Assess for risk factors

3,The patient can be protected in the following way

• Make sure no sharps ,hard substances is bear to the patient
• Make the patient lie in recovery position to prevent aspiration due to secretion
• Administer medication as per order

4.Administer anti convulsant drug to stop seizure and sedate the patient to relax during an ongoing seizure.