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Care of a Child with Cerebral Dysfunction & Cognitive

Terms in this set (25)

A
B
C
D
airway
breathing
circulation
DA BRAIN
Pedi GCS
Eyes
4 spontaneous
3 to verbal
2 to pain
1 no response
Pedi GCS
Verbal
5 smiles, oriented to sounds, follows objects
4 cries but inconsolable, inappropriate interactions
3 inconsistently inconsolable, moaning
2 inconsolable, agitated
1 No response
Pedi GCS
motor
6 moves spontaneously and purposefully
5 withdraws from touch
4 withdraws from pain
3 flexion to pain
2 extension to pain
1 no response
decerebrate posturing: results from damage to the _______ brain ______. the arms are _________ and __________ with wrists __________ and fingers flexed. The legs are stiffly extended
upper stem
adducted, extended
pronated
decorticate posturing: results from damage to one or both ___________ tracts. arms are _________ and ______ with wrists and finders flexed on the ________. legs are stiffly flexed and internally ____________.
corticospinal
adducted, flexed
chest
rotated
both decerebrate and decorticate posturing indicate ____________ damage
irreversible
obtundation
arouses to _____________
stimulation
stupor: responds only to __________ and _________ stimulation
vigorous
repeated
a sleeping child should be ___________ if neurologic status is at risk to be assessed
awakened
establish a baseline neuro status from _____________
caregiver
sudden fixed dilated pupils =
emergency
do not perform head _________ until C-spine cleared
movement
report lack of response or deteriorations to the ______________ immed because it can indicate increasing ______
provider
ICP
S/S of increased ICP:
- changes in _______
- posturing: __________, _____________
- _________ motor function
- __________ (impaired sensory/motor fxn)
- _________ ________ BP
- _________ pulse
- vomiting
LOC
decerebrate, decorticate

decreased
seizures
increased systolic
decreased pulse
avoid things that may increase cranial pressure such as:
- picking legs _____to change ______
- continuous __________
- ________ or coughing
up, diaper
crying
sneezing
S/S of increased ICP in infants:
- __________, poor _________
- high pitched ______
- fontanels: ________, _______
- cranial sutures _________
- eyes: _________ _______
- scalp veins __________
irritability, feeding
cry
bulging, tense
separated
setting sun
distended
early symptoms of increased ICP in children:
- _________ (behavioral)
- ________ in school performance
- __________ physical activity
- ________ to following simple ________
indifference
decline
diminished
inability, commands
________ increases _______
pain
ICP
chemically conscious S/S of pain:
- ____________ & ___________
agitation and rigidity
unconscious indications of pain:
dependent on ________
- increased ____, ____,_____ and decreased _______
vitals
HR,RR,BP
O2
skull fracture in an infant is a red flag because it is a sign of ______ esp if it occurs on the ______ side of the head
abuse
back
epidural vs subdural bleeding
...
S/S of concussion
...
role of nurse with head injuries in children
...
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