NURS MISC - Traumatic Brain Injury Case Study
Traumatic Brain Injury Case Study Patient Profile D.G., a 19-year-old male, was brought to the emergency department following a motor vehicle accident in which he was the driver. He is transferred to the Neuro-Trauma Intensive Care Unit with a diagnosis of traumatic brain injury. Subjective Data ● Multiple family members and friends in the waiting room ● D.G.'s girlfriend died on the scene ● Hospital chaplain present Objective Data Physical Examination ● Glasgow coma scale 4 ● Neurologic Assessment: ○ Pupils 4 mm and sluggish ○ Decerebrate posturing ○ Periorbital ecchymosis ● Clear drainage from nares is positive for glucose Diagnostic Studies ● Computed tomography (CT) scan: Subdural hematoma compressing the ipsilateral ventricle and causing a midline shift Interprofessional Care ● Admission orders include: ○ Multiple line placements: Arterial monitoring, central venous pressure line, ventriculostomy, and jugular bulb oximetry ○ Keep cerebral perfusion pressure (CPP) 70 mm Hg ○ Begin standing orders for propofol, midazolam, ranitidine, and phenytoin
Document information
- Uploaded on
- December 8, 2021
- Number of pages
- 5
- Written in
- 2021/2022
- Type
- Case
- Professor(s)
- Prof.
- Grade
- A+
