Safe School Plan - William S. Hart Union High School District

Health Care Plan For:
Ventriculoperitoneal (VP) Shunt Malfunction
Description:
A V-P Shunt is for control of hydrocephalus. Hydrocephalus is a
condition characterized by abnormal accumulation of cerebral spinal fluid with
in the skull. V-.P Shunts are all subject to mechanical difficulties, such as
kinking, plugging, or migration of tubing. Malfunction is most often caused by
mechanical obstruction. In some instances, a shunt will malfunction as a result
of infection.
Signs/Symptoms to Watch For:
1. Intense headache.
2. Vomiting (may be projectile).
3. Altered level of consciousness.
4. Unusually sleepy or irritable.
5. Student may complain of pain or stiffness in neck area.
6. Possibility of increased temperature.
7. Eyelids will be puffy and swollen.
8. Decreased academic functioning.
9. Dilated or unequal pupils.
Intervention:
1. CALL 911
2. Notify Parent.
3. Notify District Nurse.
4. KEEP STUDENT IN AN UPRIGHT POSITION. DO NOT GIVE FLUIDS OR FOOD.
5. Monitor vital signs and symptoms. Reassure student and keep student comfortable.
DO NOT ATTEMPT TO MANIPULATE THE SHUNT, SUCH AS PUMPING OR
APPLYING PRESSURE.
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