T3-Craniostenosis Flashcards Preview

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Flashcards in T3-Craniostenosis Deck (17):
1

What is craniosynostosis (craniostenosis)?

Premature closure of the sutures or absence of sutures in skull

2

What does craniostenosis result in?

Various skull deformities

3

Patho of craniosynostosis: Premature closure or absence of sutures of the skull with normal brain growth can lead to displacement of ____, which leads to increased ____, which leads to what 4 things?

Displacement of CRANIAL CONTENTS--> INCREASED ICP-->Decompensation to seizures to coma to death

4

Craniosynostosis: clinical manifestations--Malformation of the _____

Cranial symmetry

5

Craniosynostosis: Clinical manifestations--Early coronal sutures will show what?

Depression of the orbital roof leading to visual changes such as exopthalmia, strabismus and other eye findings

6

Craniosynostosis: Other signs of increased ICP are? (7)

-Headaches
-Irritability
-HIGH pitched cry
-Vomiting
-Visual changes
-Ataxia
-Seizures

7

If craniostenosis is not treated what may happen?

Brain damage and mental retardation

8

What is treatment of craniostenosis?

Reconstructive surgery of the skull

9

Craniosynostosis: How often do we do positional changes in newborns and infants?

Frequenly

10

What device is used in positional plagiocephaly?

Helmet device

11

What age is helmet device most effective?

Less than 9 months old

12

If the child is 3 months old, how many hours a day do they use the helmet device?

23 hours

13

What is the pre op care for craniotomy/craniectomy?

-Informed consent
-NPO
-Prophaylactic meds

14

What are the prophylactic meds for craniotomy/craniectomy?

-Antibiotics
-Steroids
-Others as ordered

15

*KNOW THIS: Nursing responsibilities post-op for craniotomy/craniectomy:
1. Observe for what signs?
2. What assessment?
3. What kind of edema?
4. What site care?
5. What control?
6. What education?

1. Signs of periorbital edema, changes in vision, and ICP
2. Neuro assessment
3. Cerebral edema
4. Surgical site care
5. Pain control
6. Parent education

16

Craniostenosis: What type of support of the parent is essential?

Emotional support

17

Post op craniostenosis:
-Do what to reduce swelling?
-Why do we carefully monitor HCT/HGB?

-Pressure dressing to reduce swelling

-Carefully monitor HCT/HGB because infants heads are so vascular

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