Mastering TBI Treatment

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Questions and Answers

Which of the following is a potential complication of induced hypothermia in the treatment of traumatic brain injury?

  • Improved neurologic outcome
  • Decreased cerebral oedema
  • Reduced release of glutamate
  • Increased susceptibility to infections (correct)

What is the first-line therapy for reducing intracranial pressure (ICP) in cases of severe traumatic brain injury?

  • Insulin infusion
  • Hypertonic saline
  • Steroid administration
  • Mannitol (correct)

What is the recommended target range for PaCO2 levels in the treatment of traumatic brain injury?

  • 38-40mmHg (correct)
  • Less than 30mmHg
  • Greater than 50mmHg
  • 25-30mmHg

What is the potential effect of hyperventilation in the treatment of traumatic brain injury?

<p>Vasoconstriction and reduced intra-cerebral perfusion (B)</p> Signup and view all the answers

What is the potential cause of hyperglycaemia in patients with traumatic brain injury?

<p>Increased sympatho-adrenal response (A)</p> Signup and view all the answers

What is the potential effect of hyperglycaemia in the treatment of traumatic brain injury?

<p>Increases free radical production and cerebral acidosis (D)</p> Signup and view all the answers

What is the potential effect of hypothermia in the treatment of traumatic brain injury?

<p>Decreased cerebral oedema and ICP (A)</p> Signup and view all the answers

What is the recommended duration of moderate hypothermia treatment in patients with severe traumatic brain injury?

<p>24 hours (A)</p> Signup and view all the answers

What is the potential disadvantage of induced hypothermia in the treatment of traumatic brain injury?

<p>Coagulation disorders (D)</p> Signup and view all the answers

What is the potential cause of seizures in patients with severe traumatic brain injury?

<p>Seizure activity (B)</p> Signup and view all the answers

Which of the following is NOT a risk factor for posttraumatic seizures?

<p>Delayed wound healing (A)</p> Signup and view all the answers

Which drug is considered the drug of choice for stopping seizures in patients with head trauma?

<p>Diazepam (D)</p> Signup and view all the answers

Why are corticosteroids contraindicated in human medicine for patients suffering from head trauma?

<p>They increase mortality (B)</p> Signup and view all the answers

Why is routine stress ulcer prophylaxis recommended in patients with single-system injuries of the central nervous system?

<p>To reduce gastric bleeding (B)</p> Signup and view all the answers

Which of the following factors can contribute to delayed gastric emptying in brain injury patients?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary goal of enteral nutrition in patients with traumatic brain injury?

<p>To maintain nutritional status (D)</p> Signup and view all the answers

What is the recommended type of nutrition for unconscious patients with traumatic brain injury?

<p>Parenteral nutrition (C)</p> Signup and view all the answers

Which drug combination is more effective for promoting GI motility in brain injury patients?

<p>Erythromycin and metoclopramide (B)</p> Signup and view all the answers

What is the purpose of using naloxone in enteral feedings for brain injury patients?

<p>To avoid antagonism of central effects of opiates (D)</p> Signup and view all the answers

What did a study comparing early versus delayed enteral nutrition in traumatic head injury patients demonstrate?

<p>Reduced risk of infection (C)</p> Signup and view all the answers

Which of the following is NOT a goal for intracranial stabilisation in the treatment of traumatic brain injury?

<p>Restricting fluids (C)</p> Signup and view all the answers

What is the recommended fluid therapy for the treatment of traumatic brain injury?

<p>7.2% hypertonic saline solution (D)</p> Signup and view all the answers

What is the purpose of using 7.2% hypertonic saline in the treatment of traumatic brain injury?

<p>To decrease ICP (D)</p> Signup and view all the answers

What is the recommended oxygen saturation level for an animal with traumatic brain injury?

<p>SpO2 &gt;95% (B)</p> Signup and view all the answers

Why is high carbon dioxide tensions bad for brain injury?

<p>It leads to vasodilation (C)</p> Signup and view all the answers

What is the first thing done for an animal with traumatic brain injury?

<p>Correction of tissue perfusion deficits (C)</p> Signup and view all the answers

What are the consequences of severe hypoxaemia in traumatic brain injury?

<p>Decreased cerebral perfusion (C)</p> Signup and view all the answers

What does fluid restriction lead to in cases of traumatic brain injury?

<p>Increased cytokine and ROS production (A)</p> Signup and view all the answers

What is the recommended rate for administering 7.2% hypertonic saline in the treatment of traumatic brain injury?

<p>4ml/kg over 3-5 mins (D)</p> Signup and view all the answers

What can be used to determine the oxygen saturation level in an animal with traumatic brain injury?

<p>Both pulse oximetry and blood gas machine (D)</p> Signup and view all the answers

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