Neuro Critical Care

Neuro-Criti ca l Care James Gensch, RN, BSN, CCRN, PHRN, Mobile Intensive Care Paramedic

About me: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Neurologic Emergencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Subarachnoid Hemorrhage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HUNT AND HESS Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intracranial Aneurysm ,[object Object],[object Object],[object Object],[object Object],[object Object]

Seizure ,[object Object],[object Object],[object Object],[object Object]

Meningioma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

(GBM) Glioblastoma Multiforme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Subdural Hematoma ,[object Object],[object Object],[object Object],[object Object]

Epidural Hematoma ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hypertensive Bleeds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arteriovenous Malformations (AVM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ICP ,[object Object],[object Object],[object Object],[object Object]

CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],Flow is from choroid plexus from the lateral ventricle, through the Sylvain aqueduct, into the fourth ventricle, out through the foramina of Luschka and Magendie, into the subarachnoid space, and up to the arachnoid granulations to be reabsorbed into the blood stream

Edema ,[object Object],[object Object]

Tentorium Cerebelli ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HERNIATION ,[object Object],[object Object],[object Object],a) Subfalcial (cingulate) herniation ; b) uncal herniation ; c) downward (central, transtentorial) herniation ; d) external herniation ; e) tonsillar herniation. Types a, b, & e are usually caused by focal, ipsilateral space occupying lesions, ie., tumor or axial or extra-axial hemorrhage.

Transtentorial Herniation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Subfalcine Herniation ,[object Object],[object Object]

Thrombo-embolic Events Where does the thrombus originate? DVT PFO Abrupt Halting of anti-coagulation? Afib Cerebral circulation

tPA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

tPA (cont.) ,[object Object],[object Object],[object Object]

The MERCI Retriever ,[object Object]

Patent Foramen Ovale ,[object Object],[object Object],[object Object]

Neuro Surgical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Craniotomy/Clipping ,[object Object],[object Object],[object Object]

Endovascular Neurosurgery ,[object Object],[object Object]

4 Vessel Cerebral Angio ,[object Object],[object Object],[object Object]

Arctic Sun/Cooling Hypothermia therapy to cool to 92 F post MERCI procedure Out of hospital cardiac arrest to reduce cytotoxic cerebral edema Ambient re-warm over 48 hours Use to maintain normothermia in the presence of neurogenic fever Demerol, Risperdal for rigors

AVM Gluing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EVD (External Ventricular Drain) or Ventriculostomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lumbar Drains ,[object Object],[object Object],[object Object],[object Object]

VP SHUNT (Ventriculopeirtoneal) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Craniectomy/Hemicraniectomy ,[object Object],[object Object],[object Object],[object Object]

Questions (Please) ?????????? ,[object Object],[object Object]

Neuro Critical Care

Recomendados

Recomendados

Mais conteúdo relacionado

Mais procurados

Mais procurados (20)

Semelhante a Neuro Critical Care

Semelhante a Neuro Critical Care (20)

Neuro Critical Care