2. On the CT scan, the child is found to have a subdural hematoma. The child was

ID: 149641 • Letter: 2

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2. On the CT scan, the child is found to have a subdural hematoma. The child was taken to surgery Describe physiologically what is meant by a subdural hematoma. What nursing assessments would the nurse monitor in this patient? Scenario 2: A patient was admitted to the emergency room after being in a motor vehicle accident. He hit his forehead on the windshield and had a short loss of consciousness. The admitting diagnosis is contusion of the frontal lobe. 1. Review the functions of the frontal lobe and describe what type of clinical manifestations the nurse might expect to monitor in this patient. 2. If the admitting CT scan showed a subdural hematoma, can you explain where this would be located thinking about the meninges and their function and location? 3. If the patient developed a dilated pupil, which cranial nerve can be involved? Case Study Rubric (2) Criteria Ratings Pts Response 5.0 to30pts 30 to 0.0 pts 0.0 pts Answer is complete, 300-500 Answer is partially complete, lessAnswer is words and comprehensve than 300 words and/or partially incomplete, with key points relevant to comprehensive regarding key each question incorrect and/or 5.0 pts does not cover key points relevant to each question

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2 =( PART I )-: A subdural hematoma (SDH) is a collection of blood below the inner layer of the dura but external to the brain and arachnoid membrane.

In SDH when the bridging veins draining blood from the surface of the brain to the dural sinuses rupture spontaneously or by shearing forces in head trauma. A SDH is usually venous in origin and is often self-limiting by the rising intracranial pressure. A SDH of significant size can disrupt the physiologic flow of cerebrospinal fluid and consequently raise the intracranial pressure. If a SDH persist more than 3 weeks, it becomes a chronic SDH.

(PART II)-: Child should be monitored for Complications, including increased intra cranial pressure, recurrent haematoma, infection and seizure. Following medication is given to patient

Diuretics (water pills) and corticosteroids to reduce swelling
Anti-seizure drugs to control or prevent seizures

2 = PART I) Following are the clinical manifestation expect by nurse -:

• Sudden changes in behavior, including aggression;

• Impaired moral judgment;

• Memory loss

• Dementia;

• Impaired language skills;

• Loss of empathic reasoning (ability to relate to the emotions of others);

PART 3 = Occulomotor cranial is involved as control controll on sphinctor pupillary is loss.

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2. On the CT scan, the child is found to have a subdural hematoma. The child was

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