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11 Cards in this Set
- Front
- Back
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Should you shampoo the scalp and hair of the patient before cranial surgery? |
Yes |
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What should you do with the hair shaved pre-operatively? |
Save it for the patient |
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If surgery was supratentorial (cerebral, pituitary) position the patient _____ post-operatively |
On back or non-operative side, with HOB up 15-45 degrees |
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If the surgery was infratentorial (cerebellum, brainstem) position the patient... |
Keep HOB FLAT |
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Should the client turn, cough, and deep breath after a craniotomy? |
Turn Q2H, deep breath every hour, but NO cough because coughing can increase ICP |
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Should the client with cranial surgery have fluids forced or restricted? |
Restricted to 1500 mL |
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What are three common complications of cranial surgery? |
1. Diabetes insipidus (frontal craniotomy) 2. Increased ICP 3. Meningitis |
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If the post-op craniotomy patient has a high temperature in the first 48 hours, it is probably due to _____ |
Increased ICP, especially hypothalamus -Remember, surgical wound infections don't occur until day 3 or 4 -Post-op inflammatory pressures are not usually over 100.8 degrees F |
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What drug will be used post-op for analgesia? |
Codeine |
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Why is the patient taking dilatin post-craniotomy? |
Prevent seizures |
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Describe two ways to determine if drainage post-craniotomy is CSF |
1. Test for glucose = if + then CSF 2. Watch for the halo effect on gauze = if present then CSF |
