Nursing Care of the Pediatric Neurosurgery Patient

Front Cover
Cathy C. Cartwright, Donna C. Wallace
Springer Science & Business Media, Apr 18, 2007 - Medical - 284 pages

"Nursing Care of the Pediatric Neurosurgery Patient" serves as a detailed reference for all nurses caring for children with neurosurgical problems. Staff nurses (and student nurses) working in clinics, PICU, pediatrics, operating rooms, post-anesthesia care units, emergency department and radiology will benefit from the information presented in this book. The explanations of pathophysiology, anatomy, radiodiagnostic testing and treatment options for each neurosurgical diagnosis will help them to understand the rationale behind the nursing care. Presenting symptoms and findings on neurological examination and history will enable nurses to identify normal signs. Each chapter includes information on patient and family education and will give helpful guidelines. Although there has been a need within the pediatric neurosurgery community for this type of information for years, there is no other reference available that provides this type of specific information.

 

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Contents

Neurologic Assessment and Deterioration in Pediatric Head Trauma
151
Vital Functions
152
Cranial Nerve Evaluation
153
Extraocular Eye Movements
154
Motor Exam
155
Reflexes
156
Radiographic Imaging in Pediatric Head Trauma
158
Neonatal Skull Fracture
159

Appearance and Observation
14
Cranial Nerve Assessment Brainstem Function
16
Assessment of Vital Signs
19
Assessment of Sensory Function
20
Assessment of Gait and Balance
21
Herniation Syndromes and Brainstem Reflexes
22
Assessment of External Monitoring Apparatus
23
Conclusion
24
References
27
Hydrocephalus
29
Incidence of Hydrocephalus
30
Communicating Hydrocephalus
31
Internal Hydrocephalus
32
Structural Changes
34
Etiologies of Hydrocephalus
35
Chiari I Malformation
36
Arachnoid Cysts
37
Postinfectious Hydrocephalus
38
CNS Tumors
39
Diagnosis of Hydrocephalus by Imaging Studies
41
Computed Tomography
42
Magnetic Resonance Imaging
43
Surgical Intervention
44
Treatment of Hydrocephalus in Specific MalformationsDiseases
48
Complications of Shunts and Treatment
50
Shunt Infection
52
Complications Related to Distal Catheter Location
53
Lumboperitoneal Catheter Complications
54
Pseudotumor Cerebri in the Pediatric Population
56
Nursing Care of the Hydrocephalus Patient after Surgery
57
Neurological Assessment
58
Other Nursing Care
59
Extraventricular Drainage
60
Discharge
61
Living with Hydrocephalus
62
Cognitive Abnormalities
63
Motor Disabilities
64
Precocious Puberty
65
Craniosynostosis
67
Nonsyndromic Craniosynostosis
68
Syndromic Craniosynostosis
76
Treatment for Craniosynostosis
81
Preoperative Preparation for Intracranial Surgery
82
Surgical Experience
83
Surgical Technique
84
Conclusion
87
References
88
Neural Tube Defects
90
Epidemiology
92
Myelomeningocele Open Defect
93
Comorbidities of Myelomeningocele
95
Prenatal Screening for Myelomeningocele
96
Management
98
Spina Bifida Occulta Closed Defect
101
Clinical Presentation
102
Cutaneous Anomalies of OSD
103
Orthopedic Findings of OSD
104
Urologic Dysfunction of OSD
105
Diagnostic Studies for Neural Tube Defects
106
References
107
Chiari Malformation and Syringomyelia
109
Chiari Type II
110
Chiari Type III
111
Chiari Type II
112
Chiari Type III
113
Treatment Options for CIM
114
Treatment Options for CIIM
115
Nursing Care
116
Conclusions
117
Tumors of the Central Nervous System
119
Nervous System Anatomy
120
Diagnosis
121
Treatment
125
Types of Tumors
130
Infant Tumors
138
Overview
139
Surgery
140
Observation
141
Radiation Therapy
142
The multidisciplinary team
143
Physical and Neurocognitive Sequelae
144
PsychologicalSocial
145
References
146
Traumatic Brain Injury
149
Skull
150
Intracranial Hemorrhage
161
Intracerebellar Hemorrhage
162
Pediatric TBI
163
Diffuse Axonal Injury
169
Penetrating Craniocerebral Injury
170
Inflicted TBI
171
Concepts of Cerebral Physiology
174
Cerebral Blood Flow
175
Cerebral Edema
176
Collaborative Management of Intracranial Hypertension
178
ICP Monitoring
179
Jugular Venous Oxygenation Saturation Monitoring
180
Hyperosmolar Therapy
181
Temperature Regulation
182
Additional Nursing Care
183
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
184
Preoperative Baseline
185
Postoperative Complications
186
Outcomes
187
References
188
Spine
191
Traumatic Spinal Cord Injuries Etiology
192
Assessment
199
Nursing Care
200
Summary
202
KlippelFeil Syndrome
205
Outcomes
206
Summary
208
Neurovascular Disease
211
Arterial Supply
212
Venous Supply
213
Vein of Galen Aneurysmal Malformations
214
Diagnostic Tests
215
Treatment Options
216
Family Education
217
Pathophysiology
218
Treatment
219
Outcomes
221
Presenting Symptoms
222
Treatment
223
Etiology
224
Presenting Symptoms
225
Assessment of Intracranial Aneurysms
226
Venous Angiomas Developmental Venous Anomaly
227
Capillary Angiomas and Telangiectasia
228
Presenting Symptoms
229
Outcomes
230
Moyamoya Syndrome
231
Outcomes
232
Nursing Care for Vascular Brain Lesions
233
Management of Nausea and Vomiting
234
Spinal Arteriovenous Malformations
235
Presenting Signs and Symptoms
236
Cavernous Malformations and Arteriovenous Fistulas of the Spine
237
Nursing Care
238
Outcomes
239
References
240
Surgical Management of Epilepsy
243
Preoperative Preparation
244
Invasive Monitoring
245
Seizure Surgery
247
Temporal Lobectomy
248
Subpial Resection and Corpus Callosotomy
249
Vagal Nerve Stimulator
250
Complications
251
References
252
Surgical Management of Spasticity
253
Baclofen
254
Oral Baclofen
255
Intrathecal Baclofen Therapy
256
Rhizotomy
260
Postoperative Nursing Care
261
Infections of the Central Nervous System
263
Pathophysiology
264
Diagnostic Tests
265
Nursing Care
266
Neurocysticercosis
267
Treatment Options
268
Outcome
269
Diagnostic Tests
270
Patient and Family Education
271
Diagnostic Tests
272
References
273
Subject Index
274
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