Professional Documents
Culture Documents
Traumatic Brain Injury
Traumatic Brain Injury
Source http://nursingcrib.com/nursing-notes-reviewer/medical-surgicalnursing/traumatic-brain-injury/
Cognitive deficit
Pupillary abnormality
Sudden onset of neurologic deficits
Otorrhea indicating posterior fossa skull fracture
Rhinorrhea indicating anterior fossa skul fracture.
Nursing Diagnosis
If the patient is unable to swallow, provide enteral feedings after bowel sounds have returned.
Elevate the head of the bed after feedings, and check residuals to prevent aspiration.
Monitor respiratory rate, depth, and pattern of respirations.
Complications
Infections
Increased intracranial pressure
Posttraumatic seizure disorder
Permanent neurologic deficits
Persistent sympathetic storming
SIADH
Death