(31) Types of brain injury NSG233.04.01.01 Concussion
(31) • Temporary loss of neurologic function with no apparent structural
damage to the brain.
• “Mild TBI”
• usually blunt trauma from acceleration-deceleration force, direct blow,
or blast injury.
• Frontal lobe injury may exhibit bizarre irrational behavior, and temporal
lobe injury my produce temporary amnesia or disorientation.
• Following discharge, have the patient return if experiencing:
o Decreased LOC
o Worsening headache
o Dizziness
o Seizures
o Abnormal pupil response
o Vomiting
o Irritability
o Slurred speech
o Numbness/weakness of arms or legs.
(35) Organ donation NSG233.04.01.02 The three cardinal signs of brain death on clinical examination are:
(35) • Coma
• The absence of brain stem reflexes
• Apnea
(25) Assessment of patients NSG233.04.01.03 Glasgow Coma Scale
with Traumatic Brain (25)
Injury (TBI) 15 is the best number to have for a patient. A score between 3-8 can usually
mean severe head injury.
(1) Assessment of patients NSG233.04.01.03 Signs of Increasing ICP:
with TBI (1) • Bradycardia (slowing of the heart rate)
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