4.7

Question 1

What does a Glasgow Coma Scale of 5 signify?

Answer 1

signify a severe TBI. A score of 8 or less indicates a severe TBI.

Question 2

define post-traumatic amnesia.

Answer 2

It is the length of time between injury and time that the pt is able to consistently remember ongoing events.

Question 3

what can occur if elevated ICP if not managed?

Answer 3

Brain injury can occur, along with brain herniations, seizures, coma and stroke and sometimes even death.

Question 4

Differentiate between craniotomy and craniectomy.

Answer 4

-Craniotomy: a portion of the cranium is temporarily removed for a surgical procedure and later returned to skull after surgery.

-Craniectomy: a portion of the cranium is removed for a surgical procedure and it is not immediately put back after surgery.

Question 5

what might be worn by patients who have had a craniectomy?

Answer 5

A custom fitted helmet for protection

Question 6

Key players for interdisciplinary team of individuals post TBI

Answer 6

physician
nursing
social work
PT/OT/SLP
case manager
respiratory therapy

Question 7

transcalvarial

Answer 7

brain tissue squeezed through fracture in a skull or surgical incision

Question 8

upward cerebellar/ transtentorial

Answer 8

mass in the posterior cranium causes superior displacement cerebellum through the tentorial notch

Question 9

cingulate

Answer 9

herniates against falx cerebri

Question 10

central

Answer 10

both temporal lobes through temporal notch

Question 11

uncal

Answer 11

medial temporal lobe is squeezed by a mass across the tentorium

Question 12

downward cerebellar

Answer 12

mass forces the cerebral tonsils through the foraem mangum