Spina Bifida (myelodysplasia) - MDC Faculty Home Pages

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Hydrocephalus: Assessment Assessment findings depend on age of onset and amount of CSF in the brain Infant to 2 years: Enlarging head size size, bulging bulging, non non-pulsating pulsating fontanels, downward rotation of eyes (sunset), poor feeding, vomiting, lethargy, irritability, high high-pitched pitched cry and abnormal muscle tone Hydrocephalus: Assessment Older Children: – Changes in head size less common – Signs of increased ICP (vomiting, ataxia, headache) common – Alteration in consciousness and papilledema late signs 12
SHUNTS Insertion of a flexible tube into the lateral ventricle of the brain Catheter is threaded under the skin and the distal end positioned positioned in the peritoneum (common) or the right atrium Shunt drains excess CSF from the lateral ventricles; fluid is absorbed by the peritoneum or absorbed in the general circulation via the right atrium Nursing Interventions Pre Pre-operative operative – Monitor head circumference – Monitor for signs of ICP – S Small ll f frequent t feedings f di Nursing Interventions Post Post-operative operative – Position on opposite side of surgery or back – Avoid sedation – Monitor M MMonitor it f for signs i of f ICP ICP – Educate parents concerning signs and symptoms of shunt infection or shunt malfunction 13
Page 1 and 2: NEUROLOGICAL DISORDERS Common Conge
Page 3 and 4: Types of Spina Bifida: Cystica Pro
Page 5 and 6: Etiology Poor maternal nutrition
Page 7 and 8: Therapeutic Management: medications
Page 9 and 10: Pre Pre-Operative Operative Care P
Page 11: Nursing Diagnoses High risk for in
Page 15 and 16: Cerebral Palsy - Assessment May ha
Page 17 and 18: Assessment of Meningitis Bacterial
Page 19: Mental Retardation Significant bel

Spina Bifida (myelodysplasia) - MDC Faculty Home Pages

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