N202 Unit 6 Part 2 Flashcards Preview

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Flashcards in N202 Unit 6 Part 2 Deck (15):
1

Opening into the cranium w/ removal of a bone flap & opening the dura to remove a lesion/ repair a damaged area/ drain blood/ relieve increased ICP

Craniotomy

2

Excision into the cranium to cut away a bone flap

Craniectomy

3

Repair of a cranial defect d/t trauma, malformation, or previous sx; artificial material to replace damaged or lost bone.

Cranioplasty

4

Indications for Intracranial Sx

A. Intracranial bleeding
B. Skull fractures
C. Relieve refractory ICP

5

Includes Cerebrum
Incision behind hair line

Supratentorial

6

Dbl fold of dura mater-->partition btwn cerebrum & brain stem/cerebellum

Tentorium

7

Includes Brainstem & Cerebellem
Incision: above nape of neck

Infratentorial

8

Bestrest Post Intracranial Sx

Strict bedrest x 24 hrs, then per incision or per MD

9

Dressing type
Infratentorial Incision

Encircles head
& supports the neck

10

HOB
Supratentorial Incision

HOB 30-45*

11

Post Intracranial Sx AVOID:

suctioning
cough & deep breathing
airway obstruction
increased ICP

12

If no bone flap,

DO NOT POSITION ON OPERITIVE SIDE/ SITE

13

HOB Post Infratentorial Incision

Pt flat, <10 °
Infra=lower incision=lower HOB

14

OOB Post Infratentorial Incision

3-5 days

15

Marked facial edema
ecchymosis
Seizures
ICP

Common complications of Supratentorial Incision