TRAUMATIC BRAIN INJURY
Traumatic Brain Injury (TBI) is defined as an alteration in brain function, or other evidence of brain pathology, caused by an external force.
Medical management of TBI include:
1. USING GLASGOW COMA SCALE
2. TRIAGE & TRANSPORT
3. GOALS OF THE TREATMENT
PULSE OXIMETRY GREATER THAN OR EQUAL TO 95% | ICP 20-25 mmHg | SERUM SODIUM 135-145 |
PaO2 greater than or equal to 100mmHg | PbtO2 greater than equal to 15mmHg | INR less than or equal to 1.4 |
PaCO2 35-45 mmHg | CPP greater than or equal to 60mmHg | PLATELETS greater than or equal to 75 x 1000/mm3 |
SBP greater than or equal to 100 mmHg | Temperature 36.0-38 degree celsius | HAEMOGLOBIN greater than or equal to 7gm/dL |
Ph 7.35-7.45 | GLUCOSE 80-180mg/dL |
4. ICP MONITORING
5. MANAGEMENT OF INTRACRANIAL HYPERTENSION
6. ADVANCED NEURO MONITORING
7. NUTRITIONAL SUPPORT
8. TRACHEOSTOMY
9. VENOUS THROMBOEMBOLISM PROPHYLAXIS (VTE prophylaxis)
THESE ARE THE MEDICAL MANAGEMENT MEASURES FOR TRAUMATIC BRAIN INJURY
a) what medical intervention would be indicated for TBI (focal brain injury)? for each medical intervention...
J.R. is a 28-year-old man who presented with a traumatic brain injury (TBI) after being in a motor vehicle crash. He was not wearing a seatbelt and his head hit the windshield. He experienced a loss of consciousness for an unknown length of time. Upon arrival he is groggy and doesn’t remember anything about the accident. VS upon admission: BP 130/70, Pulse 114, Resp 28, Spo2 96%. Describe 5 components of the neurologic examination, include the GCS as one. TBI...
Traumatic Brain Injury in Young Athletes: Prevention and Recognition Are Key "Brain injury is one of the most common forms of disability: impacting the lives of millions of people every year. It is also one of the least understood." —epigraph from Brain Injury Dialogues Traumatic brain injury, or TBI, can be an agonizing, and invisible, torment for those who have sustained one. Any hit to the head or any circumstance that creates movement of or pressure on the brain can...
Describe two of the different focal injuries that cause Traumatic Brain Injury
ACQUIRED BRAIN INJURY Handout WORKSHEET 1. List the cognitive problems a survivor of a brain injury may face. Taking more time to understand & pelow direction. 2. Choose two of those problems and describe the behaviours you might see as a result of these problems. 3. Describe the intervention that you would develop to deal with these behaviours.
Describe how you would support a client with acquired brain injury who demonstrated cognitive deficits as a result of their injury. Identify a minimum of 2 possible problems you might encounter and what positive intervention strategies you would use to help the person. (6 marks: one mark for the identified problem and a possibility of 2 marks for supporting strategies)
4. Identify and describe 2 observable impairments of a person with an acquired brain injury. (6 marks, one for impairment and possibly two for the description of the impairment) 5. Describe how acquired brain injury can affect the family. 6. Describe how you would support a client with acquired brain Injury who demonstrated cognitive deficits as a result of their injury. Identify a minimum of 2 possible problems you might encounter and what positive intervention strategies you would use to help the...
Handout ACQUIRED BRAIN INJURY WORKSHEET 1. What is the smallest working unit of the brain? Ans. Neuren 2. How are the brain functions organized? 3. The cerebrum or cerebral cortex is divided in two ways. Describe this division. List two functions of each of the following: Frontal lobe Parietal lobe Temporal lobe Occipital lobe 5. List three ways that damage may occur in a traumatic brain injury. 6. Based on the information about coup and centre coup, describe the deficits...
Intellectual Disability, Major Depressive Disorder, Neurocognitive Disorders, Obesity, Parkinson’s Disease, and Traumatic Brain Injury, in your own words, describe each condition and the interventions listed. Then tell us how it would affect your daily life if you were living with each of these conditions. Ask yourself what changes and adjustments would you need to make in order to function properly at school, work, family, etc. The idea here is to put yourself in their shoes. Brainstorm and share your thoughts
4. Uterine Assessment a. Describe how a nurse would perform an assessment of fundus b. What is the difference between a "firm" fundus and a "bogey" fundus? Which type requires medical intervention? d. List FIVE types of medical intervention used.
what type of medical condition would be addressed by the diabetic diet, and what are the benefits and risks of diabetic diet?