Spina Bifida (myelodysplasia) - MDC Faculty Home Pages
Spina Bifida (myelodysplasia) - MDC Faculty Home Pages
Spina Bifida (myelodysplasia) - MDC Faculty Home Pages
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SHUNTS<br />
Insertion of a flexible tube into the lateral ventricle<br />
of the brain<br />
Catheter is threaded under the skin and the distal<br />
end positioned positioned in the peritoneum (common) or the<br />
right atrium<br />
Shunt drains excess CSF from the lateral<br />
ventricles; fluid is absorbed by the peritoneum or<br />
absorbed in the general circulation via the right<br />
atrium<br />
Nursing Interventions<br />
Pre Pre-operative operative<br />
– Monitor head circumference<br />
– Monitor for signs of ICP<br />
– S Small ll f frequent t feedings f di<br />
Nursing Interventions<br />
Post Post-operative operative<br />
– Position on opposite side of surgery or back<br />
– Avoid sedation<br />
– Monitor M MMonitor it f for signs i of f ICP<br />
ICP<br />
– Educate parents concerning signs and<br />
symptoms of shunt infection or shunt<br />
malfunction<br />
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