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    Concept Map TBI

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    raquel maniego
    A 29-year-old female presented with a head injury from a motor vehicle accident. A CT scan showed right parietal, temporal, and sphenoid bone fractures with a skull fracture and subdural hematoma. She developed increased intracranial pressure, brain herniation, and compression of the brain stem. Her condition declined and she became comatose with dysfunction of vital organs.

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    Concept Map TBI

    Uploaded by

    raquel maniego
    3K views2 pages
    A 29-year-old female presented with a head injury from a motor vehicle accident. A CT scan showed right parietal, temporal, and sphenoid bone fractures with a skull fracture and subdural hematoma. She developed increased intracranial pressure, brain herniation, and compression of the brain stem. Her condition declined and she became comatose with dysfunction of vital organs.

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    made by nursing student used in a case presentation

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    A 29-year-old female presented with a head injury from a motor vehicle accident. A CT scan showed right parietal, temporal, and sphenoid bone fractures with a skull fracture and subdural hematoma. She developed increased intracranial pressure, brain herniation, and compression of the brain stem. Her condition declined and she became comatose with dysfunction of vital organs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views2 pages

    Concept Map TBI

    Uploaded by

    raquel maniego
    A 29-year-old female presented with a head injury from a motor vehicle accident. A CT scan showed right parietal, temporal, and sphenoid bone fractures with a skull fracture and subdural hematoma. She developed increased intracranial pressure, brain herniation, and compression of the brain stem. Her condition declined and she became comatose with dysfunction of vital organs.

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    Predisposing Factors: Precipitating Factors:

     Age: (16-30 years


    old)  MVA (46%)
    29 yrs old  Falls (22%)
     Gender: (Male:
    54%, Female:
    46%)
    Female

    Head injury

    CT scan:
     Right parietal, temporal S/Sx:
    and sphenoid bone  Decreased Hbg, Hct,
    fractures Skull fracture & Direct cell MCV, MCH, MCHC
     Frontotemporoparietal Breakdown BBB damage  Restlessness
    convexities  Irregular breathing

    Medical mngt: Leakage of CSF Activation of


     Emergency & blood Inflammatory
    craniectomy
    Mediators

    Ketorolac Vascular
    Tramadol disruptions
    Ranitidine Increase of
    Cerebral Blood
    Flow
    Rupture of small
    blood vessels in
    Subdural space
    Inflammation Paracetamol

    Tranexamic Bleeding &


    Acid Hemorrhage Mannitol
    Cerebral edema
    Citicholine
    Furosemide

    CT scan:
    Acute Formation of
    subdural blood clots
    hematoma

    Nsg Dx:
    Risk for ineffective
    Increased cerebral tissue perfusion
    intracranial pressure r/t increase ICP
    secondary to brain injury
    Monro-Kellie Hypothesis
    Compensation: CSF, Blood, Brain Tissue

    Reduction of Cerebral Brain Tissue


    Blood Flow compensates

    CT scan:
    Cerebral Hypoxia S/Sx:
    Right
    Brain herniation  Stupor
    Subfalcine
    herniation  Seizure

    Ischemia
    Compression of Brain Levetiracetam
    stem

    Medulla
    Nerve pathway Midbrain is Pons
    oblongata is
    between brain & affected involvement
    affected
    spinal cord is
    damaged

    Visual & Maintenance


    Dysfunction
    auditory of
    of visceral
    Abnormal positioning processing consciousness
    organs
    Loss of fine movements dysfunction is altered
    in arms, hands & fingers

    S/Sx: S/Sx:
    S/Sx: S/Sx:  Vegetative  Decreased RR
     Decerebrated  Unresponsive state  Difficulty breathing
    limbs pupil  Coma  Decreased
     Little peristalsis
    movements in  Constipation
    fingers Nsg Dx:  Decreased HR
     Paraplegic Risk for impaired skin integrity r/t
    prolonged immobility
    Medical mngt:
     Mechanical
    Nsg Dx: Nsg Dx:
    ventilation
    Impaired physical mobility r/t motor Risk for aspiration r/t presence
    neural impairment secondary to of ETT secondary to increase  Insertion of ETT &
    subdural hematoma mucous secretions NGT

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