Spina Bifida (myelodysplasia) - MDC Faculty Home Pages

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Therapeutic Management: surgery Various neurological and plastic surgical procedures can be used for skin closure without disturbing the neural elements or removing any portion of the sac Vesicostomy: stoma created on abdominal wall for urinary drainage Pre Pre-Operative Operative Care: if menigocele or mylomeningocele Assess spinal column for defect Monitor vital signs and neuro status Protect the sac: cleanse using sterile technique and sterile normal saline saline-cover cover with sterile saline moistened gauze Pre Pre-Operative Operative Care No diapers diapers-padding padding underneath Gentle handling with feeding Avoid pressure on sac 8
Pre Pre-Operative Operative Care Prone or side –lying lying Keep sac free of infection: gentle cleansing around dth the sac Avoid contamination with feces or urine Pre Pre-Operative Operative Care Observe for signs and symptoms of infection (meningitis ) and increased ICP (hydrocephalus) Measure head circumference: high risk for hd hydrocephalus hl Avoid exposure to all products that contain latex: catheters, elastic bandages, baby bottle nipples, pacifier and balloons Pre Pre-Operative Operative Care Symptoms of latex allergy Watery eyes Wheezing Hives Rash Swelling Severe anaphylaxis 9
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: Therapeutic Management: medications
Page 11 and 12: Nursing Diagnoses High risk for in
Page 13 and 14: SHUNTS Insertion of a flexible tub
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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