Mastering TBI Treatment

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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?

Vasoconstriction and reduced intra-cerebral perfusion Signup and view all the answers

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

Increased sympatho-adrenal response Signup and view all the answers

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

Increases free radical production and cerebral acidosis Signup and view all the answers

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

Decreased cerebral oedema and ICP Signup and view all the answers

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

24 hours Signup and view all the answers

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

Coagulation disorders Signup and view all the answers

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

Seizure activity Signup and view all the answers

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

Delayed wound healing Signup and view all the answers

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

Diazepam Signup and view all the answers

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

They increase mortality Signup and view all the answers

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

To reduce gastric bleeding Signup and view all the answers

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

All of the above Signup and view all the answers

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

To maintain nutritional status Signup and view all the answers

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

Parenteral nutrition Signup and view all the answers

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

Erythromycin and metoclopramide Signup and view all the answers

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

To avoid antagonism of central effects of opiates Signup and view all the answers

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

Reduced risk of infection Signup and view all the answers

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

Restricting fluids Signup and view all the answers

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

7.2% hypertonic saline solution Signup and view all the answers

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

To decrease ICP Signup and view all the answers

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

SpO2 >95% Signup and view all the answers

Why is high carbon dioxide tensions bad for brain injury?

It leads to vasodilation Signup and view all the answers

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

Correction of tissue perfusion deficits Signup and view all the answers

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

Decreased cerebral perfusion Signup and view all the answers

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

Increased cytokine and ROS production Signup and view all the answers

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

4ml/kg over 3-5 mins Signup and view all the answers

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

Both pulse oximetry and blood gas machine Signup and view all the answers