NURS 370: Head Injuries – Questions With Right
Solutions
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Terms in this set (44)
What does GCS assess? eye opening, motor response, verbal response
What is the best score you can get on 15
a GCS?
Procedural sedation a technique of administering sedatives or dissociative
agents with or without analgesics to induce a state
that allows the patient to tolerate unpleasant
procedures while maintaining cardiorespiratory
function
What are nursing responsibilities prior -ensure informed consent is filled out properly
to procedural sedation? -ask about allergies
(specifically ask about eggs because propofol is
commonly used and contains egg proteins)
-inquire about potential risks to the airway (snoring,
previous sedation experiences, etc.)
What are medications commonly used ketamine
in procedural sedation? propofol
midazolam
fentanyl
nitrous oxide
, What are common causes of impaired -Alcohol
LOC? -Epilepsy
-Insulin
-Opiates
-Urates
-Trauma
-Infection
-Psychological
-Poisons
-Shock
Traumatic brain injury injury to brain tissue or scalp or skull as a result of
blow to head (blunt trauma) or penetrating trauma
What are risk factors for a TBI? -males have 2x as many
-over 75
-under 4
-age 15-24
What are the 2 leading causes of TBI? 1. falls
2. motor vehicle collision
What is the gold standard diagnosis CT scan
for TBI?
What bloodwork might we anticipate -electrolytes
ordered for a TBI? -CBC
-substance abuse check
-blood glucose (because hypoglycemia can look like
a brain injury
Primary injury initial damage to the brain resulting from the blunt
trauma
secondary injury brain damage resulting after the initial injury
-ischemia, swelling in the brain, and chemical
changes due to carbon dioxide and lactic acid
buildup which can further damage the brain
Solutions
Save
Terms in this set (44)
What does GCS assess? eye opening, motor response, verbal response
What is the best score you can get on 15
a GCS?
Procedural sedation a technique of administering sedatives or dissociative
agents with or without analgesics to induce a state
that allows the patient to tolerate unpleasant
procedures while maintaining cardiorespiratory
function
What are nursing responsibilities prior -ensure informed consent is filled out properly
to procedural sedation? -ask about allergies
(specifically ask about eggs because propofol is
commonly used and contains egg proteins)
-inquire about potential risks to the airway (snoring,
previous sedation experiences, etc.)
What are medications commonly used ketamine
in procedural sedation? propofol
midazolam
fentanyl
nitrous oxide
, What are common causes of impaired -Alcohol
LOC? -Epilepsy
-Insulin
-Opiates
-Urates
-Trauma
-Infection
-Psychological
-Poisons
-Shock
Traumatic brain injury injury to brain tissue or scalp or skull as a result of
blow to head (blunt trauma) or penetrating trauma
What are risk factors for a TBI? -males have 2x as many
-over 75
-under 4
-age 15-24
What are the 2 leading causes of TBI? 1. falls
2. motor vehicle collision
What is the gold standard diagnosis CT scan
for TBI?
What bloodwork might we anticipate -electrolytes
ordered for a TBI? -CBC
-substance abuse check
-blood glucose (because hypoglycemia can look like
a brain injury
Primary injury initial damage to the brain resulting from the blunt
trauma
secondary injury brain damage resulting after the initial injury
-ischemia, swelling in the brain, and chemical
changes due to carbon dioxide and lactic acid
buildup which can further damage the brain
