NURSING MED SURG 3 Quizzes Medsurg
Traumatic Brain Injury – Glasgow Coma scale o Moderate: 9-12 o Greater than 13: There’s a minor head injury o Severe head injury: 8 and below Glasgow coma scale o Priority assessment: LOC, PERRLA (tells us the level of brain injury) If BP decreases on someone who has a brain injury o There will be an increased intracranial pressure. Stroke o Right side of the brain controls: the left side of the brain. Injury: may not recognize obvious objects or faces, may have spacial unawareness – don’t know the distances Seizure disorder o Do not use the tongue depressor o Do guide them down on the floor, safety is an issue PT has severe head injury, projectile vomiting, bp is high, HR high, temp high, what type of CNS injury is it? o Hemorrhagic stroke, sudden instant increase in vital signs meaning there was a vessel that ruptured. A thrombus may cause an slow incremental increase. Embolic stroke is when someone has a DVT, massaging the lower legs can cause it to travel. Slow increase. Increased Intracranial Pressure o Restlessness is the first subtle sign
Información del documento
- Subido en
- 7 de marzo de 2022
- Número de páginas
- 6
- Escrito en
- 2021/2022
- Tipo
- Examen
- Contiene
- Preguntas y respuestas
