Traumatic Brain Injury (TBI): Worst Case Scenarios (Nursing)

by Rhonda Lawes

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    00:02 So, again, what is the worst case scenario for a TBI? Let's go back over it.

    00:08 They've got some downloadable notes.

    00:10 And I know this whole video is being kind of a downer in itself, right, when we talk about really serious things.

    00:17 In the other videos, we'll talk to you about what you can do to the things we can help make better.

    00:23 We just use this one to tell you how serious brain injuries can be.

    00:27 But look at the columns we have here: "Diagnosis," "Worst Case Scenario," "How I would recognize it?" "What would I do?" Okay, this is a really efficient system for you to use your study time.

    00:39 You can do this with any diagnosis.

    00:42 I'm going to walk you through how to do it with traumatic brain injury.

    00:45 Now pause the video for just a second and see if you can come up with based on what we've just talked about.

    00:51 What are some of your ideas on what would be the worst case scenario for a patient with a traumatic brain injury? Okay. Welcome back.

    01:02 Let me walk you through some of those worst case scenarios.

    01:06 Hemorrhage.

    01:07 Remember someone's had a big traumatic brain injury, they can be bleeding on the inside of their head.

    01:12 That's going to give us extra volume inside the skull elevated intracranial pressure and put your patient at risk for brain herniation.

    01:20 Shock.

    01:21 Remember, this patient can experience shock.

    01:23 We go into this type of shock, we're going to have to act immediately.

    01:27 Because no matter what cause of shock, that means the body is not getting enough oxygen to the cells to meet their metabolic needs.

    01:37 So shock, no matter what the underlying causes is a cause for crisis and immediate response.

    01:44 So, we've got hemorrhage in shock.

    01:46 The third one is you've got damage to the actual tissue, the brain tissue, so you have hypoxic-ischemia.

    01:53 And finally, brain herniation.

    01:56 Yeah, that's definitely an ominous sign.

    01:58 Now as we continue to walk through the videos, we'll help you fill out how you would recognize it and what you would do.

    02:05 But this is a good start.

    02:07 I wanted you to take the first step to see.

    02:10 This is the way to make sure that you're prepared to know how to take care of each of these types of patients.

    02:16 For this one, we're doing traumatic brain injury.

    02:18 We've already thought through four of the worst case scenarios for you.

    02:22 As we continue through other videos, you'll see how you would recognize it and what you would do.

    02:27 But this is great for studying.

    02:30 Once you do the work of you entering the information into these boxes, these are great study notes, and go over them and over them and over them regularly.

    02:41 And if you can answer these questions, you're ready for the exam and ready to start applying your skills on real patients.

    About the Lecture

    The lecture Traumatic Brain Injury (TBI): Worst Case Scenarios (Nursing) by Rhonda Lawes is from the course Brain Injuries (Nursing) .

    Included Quiz Questions

    1. Increased intracranial pressure
    2. Hemorrhagic stroke
    3. Ischemic injury
    4. Seizures
    1. Shock
    2. Hemorrhage
    3. Hypoxic ischemia
    4. Brain herniation

    Author of lecture Traumatic Brain Injury (TBI): Worst Case Scenarios (Nursing)

     Rhonda Lawes

    Rhonda Lawes

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