Neuro Tube Defects & Congenital Conditions Flashcards Preview

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Flashcards in Neuro Tube Defects & Congenital Conditions Deck (31)
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0

What is a neuro tube made up of?

Brain and spinal cord develop as a groove that folds over to become a tube

1

What protein will be high with spina bifida

Fetal alpha protein

2

Spina bifida occulta s/s

Hidden, bowel&bladder dysfunction, back pain, leg weakness, scoliosis

3

Spina bifida meningocele s/s

Severe type of spina bifida, meninges protrude, fluid filled bulge under the skin

4

Meningomyelocele spina bifida s/s

Tissues & nerves may be exposed, neuro disabilities rt location, Sensory or motor loss after surgery, no bowel or bladder control, flaccid lower body, won't ever walk

5

When do you need to reform surgery for spina bifida and why

Within the first 48 hours to prevent infection and further injury

6

Hydrocephalus

Excessive accumulation of fluid on the brain, associated with spina bifida, abnormal enlargement of ventricles in brain

7

S/s of hydrocephalus in infants

Abnormal head, tense bulging fontanel, separation of skull bones, vomiting, irritability, seizures

8

S/s of hydrocephalus in toddlers/older children

HA, N,V, blurred vision, unstable balance, sleepiness, poor concentration, difficulty waking up

9

S/s of hydrocephalus in young middle aged children

HA, bladder problems

10

S/s of hydrocephalus in old person

Shuffling gait

11

Therapeutic management of hydrocephalus and what do they do

Vp shunt/va shunt, endoscopic third ventriculostomy. They divert fluid

12

Endoscopic third ventriculostomy

Creation of a new pathway between 3rd and 4th ventricles

13

Nursing things you have to do for hydrocephalus

Measure head circumstance and ear to ear, asses for s/s of ICP/infection

14

S/s of ICP in babies

Tense fontanel a, increased head circumference, decreased LOC, poor sucking, vomiting

15

S/s of infection in babies

Fever, increased pulse, general malaise, signs of meningitis, high pitched cry

16

What should nurse do after shunt is placed

Position to avoid pressure on valve, keep HOB elevated 30 degrees or less, resume fluids gradually after NPO status, Medicare for pain, follow up appointments

17

Parent teaching after shunt is placed

Don't lay head on shunt because it'll drain all out, comfortable position for feeding, promote bonding, position changes of head, G&D delay signs, shunt malfunction, the more you control spoofed of ICP the better chance they will have a normal life

18

When does Cerebral palsy appear

Infancy or early childhood

19

What does cerebral palsy effect

Permanently effects movement/muscle coordination

20

How does early treatment effect cerebral palsy

It can improve capabilities

21

Is Cerebral palsy progressive?

No, it's not linked to intellectual function either

22

Cerebral palsy risk factors

Premature birth, LBW, lack of nutrients, lack of growth factors, rh or ABO incompatibility, maternal infections, alcohol exposure, smoking, drugs

23

What can progress overtime with CP?

Muscle spasticity

24

Early s/s of CP if s/s show before 18 months

Delayed motor development (not meeting milestones), abnormal muscle tone(will either hypotonia or hypertonia)

25

Hypotonia

Decreased muscle tone

26

Hypertonia

Stiff or ridged muscle tone

27

Prevention of CP

Immunization against measles for all women prior to pregnancy, bilirubin levels, reduce risk of virus exposure, avoid unnecessary X-ray, drugs, control anemia, Nutritional deficiencies

28

Treatment related to other complications of CP

G tube placement for feeding, fundoplication

29

Anti seizure meds and intrathecal baclofen (ITB)-GABA receptor agonist are used for?

CP