BrainTumor(powerpointtoprintforclass)-AustinCommunityCollege.pptVIP

Cystic tumor Hypothalamic-pituitary axis dysfunction Radiological Imaging Computed Tomography scan (CT scan) with/without contrast Magnetic Resonance Imaging (MRI) with/without contrast Plain films Myelography Positron Emission Tomography scan (PET scan) LP/CSF analysis Pathology Resection Craniotomy Stereotaxis Surgery Biopsy Transsphenoidal http://youtu.be/d95K3unaNCs Drug therapy – Palliative Done for symptom treatment and to prevent complications NSAIDs Analgesics – Vicodin, Lortab, MS Contin Steroids (Decadron, medrols, prednisone) Anti-seizure medications (phenytoin) Dilantin Cerebyx Histamine blockers Anti-emetics Muscle relaxers (for spasms) Mannitol for ICP –New Hypertonic saline Pre-op care Post-op care Patient teaching Activity Wound care Diet Meds F/U Neuro assessment Vital signs H P Teaching Diagnostic test info Pre Post-op care ICU Dressings, edema, bruising, hair removal Sensations if done partially awake Emotional support Avoid false hope Anxiety Risk for infection Risk for injury: seizures Pain (Acute) Impaired cognitive ability Impaired physical mobility Altered nutrition: less than body requirements Urinary retention Risk for constipation Disturbed self-esteem Increased ICP Hematoma Hypovolemic shock Hydrocephalus Atelectasis Pulmonary edema Meningitis Fluid and electrolyte imbalances (ADH) Wound infection Seizures CSF leak Edema Follow-up appointments and procedures Medications Exercise Diet Patient may need referral to dietician to help with diet planning while undergoing chemotherapy Seizures Are a risk for 1 or more years following surgery If expecting long term changes, coordinate discharge planning with appropriate members of health care team Damages DNA of rapidly dividing cells 4000–6000 Gy total dose Duration of 4–8 weeks Brachytherapy Stereotactic radiosurgery Side Effects Skin burns, hair loss, fatigue, local swelling Patient teaching Do not erase markings Steroids S/S of cerebral edema Radiation necrosis Slows cell