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10 Cards in this Set
- Front
- Back
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do you shampoo the scalp and hair of the patient before cranial surgery?
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yes
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if the surgery was supratentorial (cerebral, pituitar) how should you position the client after surgery?
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on their back or non-operative side, with the HOB up 15-45 degrees
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if the surgery was infratentorial (cerebellum/brainstem) how should you position the client after surgery?
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keep the HOB flat
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should the client turn, cough, deep breathe after a craniotomy?
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turn q 2 hours, deep breathe every hour, no cough (could cause increased ICP)
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should you force or restrict fluids in patient who had craniotomy?
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restrict to 1500 ml
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what are 3 common complications of craniotomy?
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diabetes insipidus (frontal craniotomy), increased ICP, meningitis
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if someone who has had a craniotomy has a high temp in the first 48 hours after surgery, what is likely the cause?
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high ICP, hypothalamus (surgical wound infections don't occur until day 3 or 4), post-op inflammatory temperatures are usually not over 100.8
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what drug will be used for post-op craniotomy?
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codeine (doesn't depress respirations or LOC as much and it suppresses cough)
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why would a patient be on dilantin after a craniotomy?
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to prevent seizures
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what are 2 ways to test if drainage after a craniotomy is CSF?
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test for glucose, or look for halo effect on gauze
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