In which of the following orientations should a patient with TBI be positioned?
A. positioned with head elevated 30 degrees
B. supine position
C. prone position
D. Fowler's position
Q. 2 Calculate the cerebral perfusion pressure of a patient who has an arterial blood pressure of 120/80 mm Hg and an intracranial pressure of 15 mm Hg.
A. 185 mm Hg
B. 85 mm Hg
C. 78 mm Hg
D. 68 mm Hg
Q. 3 How should the therapist evaluate cerebral blood flow in a patient who is being mechanically ventilated for traumatic brain injury?
A. by measuring the intracranial pressure
B. by evaluating the cerebral perfusion pressure
C. by assessing central venous pressure
D. by determining the mean arterial pressure
Q. 4 Which of the following pathophysiologic conditions are considered as mediators of secondary brain injury in the presence of traumatic brain injury? I. elevated intracranial pressure II. hyperglycemia III. hypoglycemia IV. hypotension
A. I, II only
B. I, III only
C. II, III, IV only
D. I, II, III, IV only
Q. 5 Which of the following conditions are responsible for the development of respiratory failure in patients who develop this condition from traumatic brain injury? I. interstitial lung disease II. neurogenic pulmonary edema III. acute respiratory distress syndrome IV. neurogenic pleural effusion
A. I, II only
B. II, III only
C. I, III, IV only
D. II, III, IV only
Q. 6 Which of the following statements pertain to many patients receiving mechanical ventilation for traumatic brain injury? I. These patients tend to develop airway edema and alveolar inflammation secondary to direct brain injury. II. Patients with traumatic brain injury generally have normal pulmonary function. III. Quite often these patients develop neurogenic bronchoconstriction as a complication. IV. Frequently, these patients require airway maintenance.
A. II onlyB. II, IV only
C. I, III, IV only
D. II, III, IV only