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Flashcards in T3 - Hydrocephalus (Josh) Deck (21):
1

Hydrocephalus is an ---

abnormal accumulation of fluid

2

What is the primary cause of Hydrocephalus?

blockage/obstruction somewhere along the circulatory pathway of CSF

3

Primary cause of Hydrocephalus?

Arnold Chiari Syndrome

4

S/S of Hydrocephalus?

Sunset Sign (depression of eyes)

inc. head circumference

high pitched cry

poor feeding if ICP is too high

5

What is the biggest complication of surgery for shunts?

infection

6

What to look for in eyes with hydrocephalus?

Sunset Eyes (depressed eyes)

7

Types of obstructions that cause Hydrocephalus?

Infection

Hemmorrhage

Tumor

Myleomeningocele

8

S/S of Hydrocephalus:

bulging fontanels

thinning skull bones

dilation of scalp veins

sunset eyes

irritability

shrill, high pitched cry

opisthotonus

9

Which meds can help decrease production of CSF until surgery for hydrocephalus can be done?

Furosemide

Asetazolamide

10

The best and most effective treatment for hydrocephalus is --

Shunts

- 1/8 in diamter tube

11

VP Shunt drains into --

VA Shunt drains into --

peritoneum

right atrium of heart

12

When would a VA shunt be preferred?

When abdominal surgery has been done or they have GI probs

13

When is shunt commonly placed?

3-4 mths of age

14

Pre-op care for Shunt surgery

Observe for signs of ICP

Care of the externalized shunt if indicated

Support large head

proper skin care

informed consent

seizure precautions

maintain adequate nutrition

15

Signs of ICP:

Bulging fontanel

enlarged head circumference

BEHAVIOR CHANGES

IRRITABILITY

16

Why is head of bed initially flat after Shunt surgery?

so drain is not too fast

17

Parental support and discharge teaching for Shunt surgery.

- avoid contact sports

- protective helmets when riding bikes

18

Post op for Shunt Surgery

Position on unaffected side

Bed flat (so drainage won’t be too fast)

Avoid sedatives

Observe for ICP

Assess for signs of infection

neuro assessment

vital signs

care of post-op site

pain control

19

Shunt infection is primarily from --

client's OWN organisms (not exposure to ill people)

20

Children w/ VP shunts are more prone to --

Children w/ VA shunts are more prone to --

abdominal infection

generalized infection

21

Shunt infection frequently results in -- and may produce -- or -- along the shunt tract

fever

reddening

swelling