Flashcards in T3-Craniostenosis Deck (17):
What is craniosynostosis (craniostenosis)?
Premature closure of the sutures or absence of sutures in skull
What does craniostenosis result in?
Various skull deformities
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
Craniosynostosis: clinical manifestations--Malformation of the _____
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
Craniosynostosis: Other signs of increased ICP are? (7)
-HIGH pitched cry
If craniostenosis is not treated what may happen?
Brain damage and mental retardation
What is treatment of craniostenosis?
Reconstructive surgery of the skull
Craniosynostosis: How often do we do positional changes in newborns and infants?
What device is used in positional plagiocephaly?
What age is helmet device most effective?
Less than 9 months old
If the child is 3 months old, how many hours a day do they use the helmet device?
What is the pre op care for craniotomy/craniectomy?
What are the prophylactic meds for craniotomy/craniectomy?
-Others as ordered
*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
Craniostenosis: What type of support of the parent is essential?