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TBI-neuro

Rancho levels and TBI

Question	Answer
What are the 2 types of TBI?	Closed and open
This injury is when the brain is exposed	Open
What are the 2 types of TBI?	Closed and open
This injury is when the brain is exposed	Open
This injury is when teh brain is not exposed	Closed
Primary damages are caused by	Coupe and counter coupe, diffuse axonal, subdural hematomas, epidural hematomas, intracerebral hemorrhages
Secondary damages are caused by	seizures, intracranial pressure, intracranial infections.
This damage occurs at the time of the injury	primary damage
This damage occurs later	secondary damage
3 forces involved in traumatic brain injuries	rotational, acceleration, deceleration.
This is the device used to decrease hydrocephalus	VP shunt
This is the device used to decrease hydrocephalus	VP shunt
This monitors the pressure in the skull	ICP monitor
Scale used to determine neurological level. Monitors 3 types of responses	Glascow Coma Scale
surgical procedures designed to help eleviate the pressure on the brain following a brain injury	burr hole, removing a section of the skull, VP shunt, medically induced coma
List the 3 types of responses monitored in the Glascow Coma Scale	Eye opening, Best motor response, Verbal response
Scale used to determine neurological level. Monitors 3 types of responses	Glascow Coma Scale
A score below 8 on the Glascow coma scale indicates which level of brain injury	severe
List the 3 types of responses monitored in the Glascow Coma Scale	Eye opening, Best motor response, Verbal response
A score below 8 on the Glascow coma scale indicates which level of brain injury	severe
A score of 9-12 on the Glascow coma scale indicates which level of injury	moderate
A score of 13-15 on the Glascow coma scal indicates which level of injury	mild
true or false- a concusion is a brain injury	true
The time between the time of the injury and the last memory prior to the accident is ____ ____. The longer the time not recalled, the greater the brain injury	post traumatic amnesia
No response to stimuli	Rancho level I
Responds generally to all stimuli.	Rancho level II
Localized response. Occational simple 1 step direction following (ie- open eyes, high five....) Turns toward stimluli, follows moving objects.	Rancho level III
Extreme motor restlessness. Maybe verbally or physically aggitated. May perform motor activities without any apparent purpose. Mood swings	Rancho level IV
Able to attend to a highly familiar task in a non-distracting environment for up to 30 minutes with moderate redirection. Consistantly following commands. Inconsistantly oriented.	Rancho level VI
Able to handle multi tasking simulatiously. Aware of impairments. Able to independently create and maintain own assistive memory devices. Social interaction is appropriate. Recognizes needs and feelings of others.	Rancho level X
independently shifts back and forth between tasks and completes them accurately for at least 2 consecutive hours. Self monitors appropriateness of social interaction with stand by assistance.	Rancho level IX
Unrealistic planning of the future. Overestimates abilities. unaware of others' feelings and needs. unable to recognize inappropriate social interaction.	Rancho level VII
May become agitated in response to external stimulation. Not oriented. Unable to perform new learning.	Rancho level V
Independently attends to familiar tasks for 1 hour in a distracting environment. Overestimates or underestimates abilities. Self centered. aware of impairments.	Rancho level IV
abnormal posturing that involves rigidity, arms flexed inward (to your core), hands fisted, and legs extended	decorticate
abnormal posturing that involves rigidity, arms extended, hands fisted, forearms pronated, shoulders internally rotated	decerebrate
Of the 2 types of posturing, this is the one indicated the more severe brain injury of the 2	decerebrate

Created by: lhelgeson

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