Podcast
Questions and Answers
What is the appropriate action when a pediatric patient scores 8 on the assessment scale?
What is the appropriate action when a pediatric patient scores 8 on the assessment scale?
- Prepare for transport
- Administer mannitol immediately
- Intubate the patient (correct)
- Monitor vital signs closely
Which symptom indicates decerebrate posturing in a pediatric patient?
Which symptom indicates decerebrate posturing in a pediatric patient?
- Flexed extremities
- Extended and pronated extremities (correct)
- Eyes tracking normally
- Increased pulse rate
Which of the following is NOT a cause of increased intracranial pressure?
Which of the following is NOT a cause of increased intracranial pressure?
- Hydrocephalus
- Brain tumors
- Head trauma
- Low blood pressure (correct)
What change in vital signs is expected in a pediatric patient who is experiencing increased intracranial pressure?
What change in vital signs is expected in a pediatric patient who is experiencing increased intracranial pressure?
Which eye maneuver result indicates potential damage to the midbrain or pons?
Which eye maneuver result indicates potential damage to the midbrain or pons?
Flashcards
Intubation Score
Intubation Score
A score of 8 indicates the need for intubation in pediatric patients.
Normal Eye Movement
Normal Eye Movement
If eye movement is straight during the eye maneuver in a patient, midbrain or pons damage might be present.
Decorticate Posturing
Decorticate Posturing
Flexed extremities, generally a better sign than decerebrate posturing.
Decerebrate Posturing
Decerebrate Posturing
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Intracranial Pressure Causes
Intracranial Pressure Causes
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Study Notes
Pediatric GCS Score
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Score of 8 or higher for intubation
-
If patient looks straight during dolls/eye maneuver, midbrain or pons damage is possible
Decorticate/Decerebrate Posturing
- Decorticate: extremities flexed (better to have) indicating potential cerebro cortex damage
- Decerebrate: extremities extended/pronated (worse to have) indicating brain stem damage (essential functions)
Intracranial Pressure Causes
- Head trauma
- Birth trauma
- Hydrocephalus
- Infection
- Brain tumors
Vital Signs
- Signs (s/s) of increase blood pressure (BP), pulse, and respiratory rate (RR).
- Mannitol is a good medication to give
- Early vs late signs (of III) are important
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