PEDS Modules 6: Altered Neurosensory

Notes

  • Only due things on theory objectives

  • 90-second stop the infusion

  • Obtunded

  • Just VP shunt

  • Occulta, meningocele, myelomeningocele, anencephaly

  • Dont lay on hydrocephalus side

  • Decerebrate: pronated arms

  • Reye Sydrome:

    • Dont give aspirin since it causes reye syndrome

  • Subdural: Slwo showing

  • Epidural: minutes to hours after it will show

Powerpoint

  • Medicaiton for neurological

    • Diazpam ( Valium)

    • Ativan ( Lorazepam)

    • Keppra ( Levetirecam)

    • Phenytoin ( Dilantin)

    • Xanax

  • CSF is the same assessment as other bodily fluids

  • Deep tendon reflexes, you have to look for head injury

  • Hydrocephalus is when the skull is to big overproduction of CSF in the patient

  • Low line ears is down syndrome

  • Alfa fetal protein test

  • Cogentail disorders

    • Spina bifida: protrusion of the nerves outside the body

    • Hydrocephalus:

      • Open sutures: skull enlargement

      • Closed sutures: S/S of ICP increase

      • Complication: Infections and blockage due to VP shunt

    • Meningitis: Inflammation of the meningitis

      • Bacterial is cloudy

      • Glucose is low due to bacterial eating glucose

    • Seizure Disorders

      • Duration, triggers,

  • LP

    • Infant is curved like a C

    • Collects 3-5 tubes and take it to pathology

Group Work

  • Seizures JUST KNOW SEIZURES and WHAT TO DO AS A NURSE

    • Disorder

    • Nursing Management

    • Rx needs

      • Dilatin: gums will bleed → Solf toothbrush , maintenance

        • Also monitor for drug serum levels if seizures are still occurring

      • Phenytoin: Maintence

      • Ativan: During seizure

  • Head Injury: NEED TO KNOW, they can have a fracture from the head injury, dont need to know types of head injury

    • Disorder

    • S/S increase ICP

    • ABC, neuro status, check other injuries ( total body scan),

    • Nursing Management

    • Rx needs

  • Burns

    • Disorder

    • Nursing Management

    • Rx needs

    • Pain management and hydration

    • Skin grafting and plastic surgery

    • Smoke inhalation injury so open the mouth and check the mouth

    • Rule of 9: Dont need to know

  • Meningitis

    • Disorder: Infection caused by bacteria such as Neisseria meningitis that leads to inflammation of meningis that surround spinal cord and brain

    • Nursing Management

    • Rx needs

    • Bacterial meningitis is very dangerous

    • Will have nuchal rigidity

  • Spina Bifida can put with cerebral cerebral palsy since its very similar

    • Disorder: Caused by osseus spinal closure and folic acid deficiency

    • 3 types: myelomeningocele, meningocede occylta

    • Nursing Management

    • Rx needs: Oxybutynin

    • Bladder and urine control, PT/OT/ Speech

  • Hydrocephalus

    • Disorder:

    • Nursing Management:

    • Rx needs

    • Seizure precaution