Question

A patient you are caring is noted that a 6 year old is in transit with a suspected brain injury after being involved in a pedestrian / motor vehicle accident. The child is unresponsive at this time. Vital signs are within normal limits. What will the therapy used on this child be directed towards?

A. A distended bladder

B. A fecal mass

C. Abrupt onset of fever

D. Sudden hypothermia

Answer 1

Therapy mainly focus on how to minimize the factors which increase intra cranial pressure, cerebral ischemia and edema.

For that,

• should avoid hypoxia
• Maintain normal carbondioxide concentration in blood; hypercapnia causes increased cerebral edema (vasodilation leaders to increased blood flow)
• Blood pressure maintain as normal
• Maintain normal blood sugar level
• Body temperature should be in normal range
• Avoid seizure

Answer.:

• C ( abrupt onset of fever)

Increase cell metabolism and oxygen demand