NUR 4445 PEDS Exam 3
- Assessment for head injury
Answer assess LOC (AVPU)
- Decorticate posturing
Answer flexor, lesions above brain stem
- Decerebrate posturing
Answer extensor, lesions in midbrain/brainstem
- Clinical manifestations of head injury
Answer LOC, amnesia, HA, NV, vertigo, fatigue, seizure, irritable
-behavior changes -neuro eval, GCS/AVPU, CT -increased ICP
- acute care for head injury
Answer ABCs, safe ICP intracranial monitoring
- medication for head injury
Answer mannitol; diuretic, reduces pressure on brain, give slowly, monitor tachycardia and low BP
- What is a concussion?
Answer temporary disturbance in brain function, stretching, compression, and tearing of nerve fibers 1 / 3
resolves in 1-3wk
- What can happen when there are repeated concussions?
Answer Can cause cu- mulative neuropsychologic and neuroanatomic damage, damage even when the incidents are separated by months or years
- What is the treatment for concussion?
Answer ED, referral to neurology, rest brain, has to be cleared to return to sports, can take wks
- What is Duchenne Muscular Dystrophy?
Answer Muscle fiber degeneration and muscle wasting (progressive)
- What do you monitor with duchenne?
Answer F/E
- In Duchenne Muscular Dystrophy you want children to be an
.
Answer independent as possible and active
- What are DMD pt at risk for?
Answer aspiration and pulmonary infections
- Signs and symptoms for DMD
Answer 3-7y
hypertrophy to calves, weakness, especially lower extremities, waddling gait, de- layed walking, may never run, positive Gower's maneuver, weak neck muscles, winging of scapula, possible 2 / 3
Answer
SUBSCRIBE
intellectual disability
- What is Gower's maneuver?
Answer seen in DMD, difficult time rising from the floor to standing position
- Diagnostics for DMD
Answer blood (elevated creat. kinase), muscle biopsy, elec- tromyography, genetic testing
- Tx for DMD
Answer steroids (prednisone), may preserve muscle function
- What team collabs in tx for DMD?
Answer MD, RN, OT, PT, RT, RD, LSW, psych
- What is meningomyelocele?
Answer Type of spina bifida, failure of neural tube to close completely during 4wk gest. linked to folic acid def in mother
- S/S of Meningomyelocele
Answer -partial/complete paralysis
-partial/complete lack of sensation of the lower extremities -loss of bowel & bladder control -meninges and spinal cord protrude, no translucency
- Diagnostics for Meningomyelocele
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