Experts
A ________ provides the most accurate and reliable data and also provides a means to control
ICP by cerebrospinal fluid removal. external ventricular drain (other monitoring options that
are less invasive include the subdural bolt and a fiberoptic catheter)
What does GOAT do? predict recovery after TBI
What is an O-Log? orientation log to predict functional independence
systolic BP must be > _______ and SpO2 must be > _________ following ABI 90; 90 %
following ABI
The ICP should be < _______ 20.... and the cerebral perfusion must be > 60
Which of the following is something that should be done to prevent increases in ICP?
a. put them in trendelenburg
b. give a patient barbituate medication
c. aquatic therapy
d. put patient in a hot room B --> also they could do surgical decompression, HOB should be
elevated, hypothermia, osmotherapy
T/F You can plateau at any level on the RLA True
The coma recovery scale has _____ items and 6 sub scales including: 23; auditory, visual,
oral motor, communication, arousal
, T/F a multipodus boot may be needed for a patient with TBI True .... or might need serial
casting if they have horrible spasticity/contracture (preventing secondary contractures... like
pna, and wounds)
If a person is in a vegetative state, coma or minimally conscious what is the best way to arouse
them Sensory stimulation
T/F If a patient is in a vegetative state it is contraindicated to get them on a tilt table False -
you want to put them on tilt table or standing frame to manage vitals in upright position
T/F Use of the CRS-R is best used on a higher level patient such as GCS > 13 False - the coma
recovery scale - revised is best used on low level/ vegetative patient
Total score of 3-8 on GCS indicates Severe BI
Total score of 13-15 indicates Mild BI
Total score of 9-12 on GCS indicates Moderate BI
What is the order of verbal response from 1-5 1 = None
2 = incomprehensible
3 = inappropriate
4 = confused
5 = oriented
T/F Coma is uncommon in patients who score 3-8 on the GCS False - common 90%
T/F The GCS is often used during initial assessment following TBI T