NURS 3290 Lecture Notes - Lecture 22: Intracerebral Hemorrhage, Diffuse Axonal Injury, Subdural Hematoma
13 Apr 2016
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Linear: break in bone without altering relaionship of parts. Compound: depressed with scalp laceraion into intracranial cavity. Parietal: deaf, csf/brain otorrhea, bulging tympanic membrane, facial paralysis, batle"s sign. Otorrhea, bulging tympanic, batle"s sign, innitus, rhinorrhea, facial paralysis. Dural tear (csf leak) causes increased risk for meningiis. Otorrhea can lead to meningiis, prevent with anibioics. Halo sign from ear/nose drainage indicates csf presence. Contre coup injury is a secondary injury from brain bouncing and hiing other side. Difuse axonal injury: ater tbi (traumaic brain injury) Decreased loc, increased icp, cerebral edema, altered posiions. Silent killer caused by cerebral aneurysm (might not have symptoms unil it bursts. Loc depends, focal deicits, n/v, sif neck, seizures. Complicaions: re-bleeding before surgery, vasospasm 6-20 days post op (blood released causes vessels to narrow) Monitor for change in loc: neuro assessments and vs, intervenions to prevent increased icp and decreased cpp. Put bone lap back at a later ime.
