What is nursing management for head injury?
Maintain airway and ventilation. Maintain cerebral perfusion pressure. Prevent secondary injuries (by recognizing and treating hypoxia, hypercapnia, or hypoperfusion) Evaluate and manage for increased ICP.
What should you assess after head injury?
Assessment of the head injury patient should include airway, cervical spine protection, breathing, circulation, and haemorrhage control followed by the GCS. The GCS score should be used in the assessment of all patients with head injury by trained healthcare providers.
How would you describe a head injury?
A head injury is any trauma to the scalp, skull, or brain. The injury may be only a minor bump on the skull or a serious brain injury. Head injury can be either closed or open (penetrating). A closed head injury means you received a hard blow to the head from striking an object, but the object did not break the skull.
What should one include in their assessment of a skull fracture?
Ensure to check for signs of basal skull fractures, such as bruising around eyes (‘racoon eyes’), bruising behind the ears (Battle’s sign), clear discharge from nose or ear (CSF rhinorrhoea or CSF otorrhoea), blood bulging from middle ear (haemotympanum), or any obvious penetrating injury.
How do you examine a head injury?
- Computerized tomography (CT) scan. This test is usually the first performed in an emergency room for a suspected traumatic brain injury.
- Magnetic resonance imaging (MRI). An MRI uses powerful radio waves and magnets to create a detailed view of the brain.
How do you monitor a head injury?
How are head injuries diagnosed?
- Blood tests.
- X-ray. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
- Computed tomography scan (also called a CT or CAT scan).
- Electroencephalogram (EEG).
- Magnetic resonance imaging (MRI).
What are the 3 main categories of a head injury?
There are three basic levels of TBI injury: mild, moderate, and severe.
How do you evaluate a head injury?
To assess the severity of a head injury, a physician may perform a physical and neurologic exam and imaging tests such as: CT scan of the head: Computed tomography (CT) scanning combines special x-ray equipment with sophisticated computers to produce multiple images or pictures of the head and brain.
Do I have a concussion checklist?
Balance problems or dizziness, or double or blurry vision. Bothered by light or noise. Feeling sluggish, hazy, foggy, or groggy. Confusion, or concentration or memory problems.
What is the nursing care plan of head injury?
Nursing care plan of head injury includes nursing diagnosis, intervention, and rationale. Let us discuss nursing diagnoses one by one. increased cerebral blood flow. increase in intracranial pressure more than 10 mm Hg Expected outcomes: Patient maintains optimal cerebral tissue perfusion, ICP less than 10 mm Hg.
What is a head injury?
What is a head injury? Head injuries are one of the most common causes of disability and death in adults. The injury can be as mild as a bump, bruise (contusion), or cut on the head, or can be moderate to severe in nature due to a concussion, deep cut or open wound, fractured skull bone (s), or from internal bleeding and damage to the brain.
How do you assess a patient with a head trauma injury?
Ability to focus and learn new information might be difficult and take more time. Assess the patient’s knowledge about the injury and treatment plan. Most patients and families have no prior experience with head trauma injuries. In most cases, these types of injuries arise from very sudden and unexpected events.
What does rehabilitation for a head injury consist of?
They can provide unique information about the patient’s baseline before the head injury. Prepare the patient and family for possible need for physical, occupational, speech therapy, and ongoing home support. Rehabilitation can be a long process that goes beyond the hospital stay.