NUR 322 Lecture Notes - Lecture 11: Peripherally Inserted Central Catheter, Spina Bifida, Febrile Seizure
Document Summary
Chapter 28: children with neurological or sensory conditions: gray matter. Hypothalamus (maintains homeostasis; regulates bp, hr, and temp) Thalamus (processes sensory impulses, sends to cerebral cortex: disruption in pathway from brain to peripheral nervous system and spinal cord results in altered neurological function. Level of consciousness is controlled by reticular activating system and the cerebral hemisphere of the brain. Infection of the brain and meninges will cause an altered level of consciousness: unconsciousness = depressed cerebral function. Stupor: arousal only with vigorous or unpleasant stimulation. Coma: child cannot be aroused even by painful stimuli. Irritability, lethargy, headache, nausea and emesis (bulging fontanels) whose are closed. Clinical features vary according to age and rate at which pressure increases. Papilledema blown blood vessels in eyes (important sign) Measure and document vital signs, loc, reflexes and pupil reaction. Glasgow coma scale (eye opening, motor and auditory/visual responses) (9-15 normal, 8-4 coma, 3-0 deep coma) Provide knowledge of head injury and post procedural care.
