< RPN
“
#
39
Week 3: Intracranial Regulation
W 1362; 364-360,27 6, 370-
5.
373"59’8%%1&8? 2G::‘idgelns: Ch. 13; Linton;% %Asasne\iloill]l:ilf fgégg%éyton: pgs. 427
432-433:
’ >
434.435
» LN, 235
HVESEL
Si 1: LPgs.
es 823-832; ;
Lecture 1 — Exam 1
Lecture 2
Define: (Giddens chapter 13)
Define the concept of intracranial regulation.
Mawtdauninee hadamce f .Wacvanial
.
Lompenenfs
Vs OO e
tone (Giddens
Categories that describe impairment or dysfunction: (G p 116 1 6)
. air
According to Giddens there are categories of imp . ment or dysfunctioion related to the concept of
ot isted, then
intracranial regulation. On the table below provide a short description of eac h category listed,
identify a disease process (exemplar) that fits into each category. . X
Category Definition X emp
LONMVAOUS oxygen
. p and “ L [STIO¥E,
IVasgul
CVALL erevro~
o kueldent ) Lromn
Perfusion nutration X0 Llosd 0w V\IKAZR [\ Ywre o
md Vravn Hsswe, Lerebral | arderyy .
Loy Cotion oetween Qflizu.v\e (wi\epfflar)
Neurotransmission Wewrons Mrougn +\ne QxCegq»we’ abnor
eage [ wpttake ot neurd-lp1eckrical
s \ isthavey
* 4185 N
Y\—QY\AWQJAw&YS QLY0sS NMUNE TUpt
A nevma
|—
SPNUES- N»rvtmhmwf“@-
svucturad [d eenerative Lvoumafig Bradn lnjucy
GMAGR+0 Lok TBL) [BravnTumer ©
Y i\w DaAYL Hrom external
¥ adder normal WA [force | Rbvwrmal 4t owith
evoniod fwnchion,
i i
SysS tematically and comp rehensively (Giddens p. 117-119, Linton & Matteson 364-
Assessing
366; Box 21.2)
i
Review i
Linton & Matteson Box 21.2 =— assessment of the patient wit‘ith neurologic disorder
NS
Initials and Date: 4% 0-17- 25
dros
© Hondros College of Nursing FALL2S
TR SCTEERA RIS B RS S R —
, 40
:l'hc Giddens book mentions several areas of data collection. PNs are most often called upon to engage
n data collection related to mental status (and changes), Glasgow Coma Scale, and clinical signs of
Increased intracranial pressure (11CP).
What are some potential areas the PN should focus on when asking questions regarding Intracranial
issues?
LO( evitation, Behovioval ehangesS , headacheS, vl thanges
Nausce | Nwhv\‘s(x«w% Q.V\M{}CS Wy of trauma
Glasgow Coma Scale
o A quick, practical, and standardized system of assessing the degree of
_LonceiousnessS in the critically ill patients with head injuries.
o What three components does the Glasgow Coma Scale measure?
" _eMe Opeviingy (€)
o N n V
« _moter VeSponse (M)
Practice your assessment
Patient: 32-year-old male, brought to the emergency department after a high-speed car accident.
Observations:
» Eve Opening: Opens eyes only when the nurse applies a sternal rub.
« Verbal Response: Moans incomprehensibly without forming words.
« Motor Response: Withdraws hand when the nurse applies painful stimulus to the nail bed.
o
o
Questions for students:
e
1. What is the GCS Eye Opening (E) score? %
2_ What is the Verbal Response (V) score? 2- S
S
3. What is the Motor Response (M) score? H
Sh
b
4 What is the Total GCS score? [
b
5. How would you classify the severity of this patient’s brain injury based on the GCS score?
S5
12-15 yld | A-12 wuedeyale | < 8
A
A
A
A
2B
© Hondros College of Nursing FALL25 Initials and Dnte.hg ‘\ \0-\"1- 1%
J -AD
2
A
DRSS
T AR . e
B
“
#
39
Week 3: Intracranial Regulation
W 1362; 364-360,27 6, 370-
5.
373"59’8%%1&8? 2G::‘idgelns: Ch. 13; Linton;% %Asasne\iloill]l:ilf fgégg%éyton: pgs. 427
432-433:
’ >
434.435
» LN, 235
HVESEL
Si 1: LPgs.
es 823-832; ;
Lecture 1 — Exam 1
Lecture 2
Define: (Giddens chapter 13)
Define the concept of intracranial regulation.
Mawtdauninee hadamce f .Wacvanial
.
Lompenenfs
Vs OO e
tone (Giddens
Categories that describe impairment or dysfunction: (G p 116 1 6)
. air
According to Giddens there are categories of imp . ment or dysfunctioion related to the concept of
ot isted, then
intracranial regulation. On the table below provide a short description of eac h category listed,
identify a disease process (exemplar) that fits into each category. . X
Category Definition X emp
LONMVAOUS oxygen
. p and “ L [STIO¥E,
IVasgul
CVALL erevro~
o kueldent ) Lromn
Perfusion nutration X0 Llosd 0w V\IKAZR [\ Ywre o
md Vravn Hsswe, Lerebral | arderyy .
Loy Cotion oetween Qflizu.v\e (wi\epfflar)
Neurotransmission Wewrons Mrougn +\ne QxCegq»we’ abnor
eage [ wpttake ot neurd-lp1eckrical
s \ isthavey
* 4185 N
Y\—QY\AWQJAw&YS QLY0sS NMUNE TUpt
A nevma
|—
SPNUES- N»rvtmhmwf“@-
svucturad [d eenerative Lvoumafig Bradn lnjucy
GMAGR+0 Lok TBL) [BravnTumer ©
Y i\w DaAYL Hrom external
¥ adder normal WA [force | Rbvwrmal 4t owith
evoniod fwnchion,
i i
SysS tematically and comp rehensively (Giddens p. 117-119, Linton & Matteson 364-
Assessing
366; Box 21.2)
i
Review i
Linton & Matteson Box 21.2 =— assessment of the patient wit‘ith neurologic disorder
NS
Initials and Date: 4% 0-17- 25
dros
© Hondros College of Nursing FALL2S
TR SCTEERA RIS B RS S R —
, 40
:l'hc Giddens book mentions several areas of data collection. PNs are most often called upon to engage
n data collection related to mental status (and changes), Glasgow Coma Scale, and clinical signs of
Increased intracranial pressure (11CP).
What are some potential areas the PN should focus on when asking questions regarding Intracranial
issues?
LO( evitation, Behovioval ehangesS , headacheS, vl thanges
Nausce | Nwhv\‘s(x«w% Q.V\M{}CS Wy of trauma
Glasgow Coma Scale
o A quick, practical, and standardized system of assessing the degree of
_LonceiousnessS in the critically ill patients with head injuries.
o What three components does the Glasgow Coma Scale measure?
" _eMe Opeviingy (€)
o N n V
« _moter VeSponse (M)
Practice your assessment
Patient: 32-year-old male, brought to the emergency department after a high-speed car accident.
Observations:
» Eve Opening: Opens eyes only when the nurse applies a sternal rub.
« Verbal Response: Moans incomprehensibly without forming words.
« Motor Response: Withdraws hand when the nurse applies painful stimulus to the nail bed.
o
o
Questions for students:
e
1. What is the GCS Eye Opening (E) score? %
2_ What is the Verbal Response (V) score? 2- S
S
3. What is the Motor Response (M) score? H
Sh
b
4 What is the Total GCS score? [
b
5. How would you classify the severity of this patient’s brain injury based on the GCS score?
S5
12-15 yld | A-12 wuedeyale | < 8
A
A
A
A
2B
© Hondros College of Nursing FALL25 Initials and Dnte.hg ‘\ \0-\"1- 1%
J -AD
2
A
DRSS
T AR . e
B
