Care of Child With Head Injury
Care of Child With Head Injury
Care of Child With Head Injury
Presented By
Hidayatullah
Objectives
By the end of the presentation students will be
able to:
Define Head Injury
Discuss types of Head Injury
Describe causes, treatment and prognosis of
child with head injury
Discuss Nursing Management of child with
head injury
Definition
• The head injury is a pathologic process that
involves the scalp skull, meninges or brain as a
result of mechanical force.
Enlargement of skull
Etiology
• Development malformations
• Aqueductal stenosis
• Neoplasm
• Infection
• Trauma
Diagnostic Test
• Head circumference
• CT scan
• MRI
Sign and Symptoms
Infancy:
1. Rapid increase in head size
2. Vomiting, sleepiness, irritability, downward
deviation of eyes and seizures
Other Children:
Headache followed by nausea, pupilary edema
(swelling of optic disc) blurred vision, diplopia,
sun setting of eyes, problems with balance , poor
coordination, gait disturbance or other changes in
personality and cognition.
Hydrocephalus: Management
Therapeutic Management:
Surgery
removal of obstruction i.e. tumor, cyst etc
Shunt procedure and medication
Shunts: VP shunt (Ventricular-peritoneal
shunt)
Complications of VP shunt
• Infection
• Malfunction
• Mechanical problems: plugging, separation of
tube
• Subdural hematoma
• Over draining or under draining
Ventricular peritoneal shunt (vp)
Definition
A VP shunt is a long, plastic tube that allows
fluid to drain from the brain to another part of
the body
This drainage prevents the Increase in pressure
on the brain caused by hydrocephalus
Extra Ventricular Drain (EVD)
Definition
• External ventricular drainage (EVD) is a
treatment that allows the temporary drainage
of cerebrospinal fluid (CSF) from the ventricles
of the brain, relieving raised intracranial
pressure.
(Woodward,2002)
• Thank You
• Acknowledgement
• Ms Aruna Kareem