Traumatic Brain Injury

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Neurology Clinical reference

Traumatic Brain Injury

TBI ranges from mild concussion (GCS 13-15) to severe (GCS ≤8). Primary injury from impact; secondary injury from edema, hypoxia, hypotension. Neuroprotective care targets ICP <20, CPP >60.

TBI head injury traumatic brain injury concussion diffuse axonal injury DAI
Terms
0
ICD-10
8
Evidence
4
Trials
1
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Core official overview

What this condition is

What is traumatic brain injury (TBI)?Traumatic brain injury (TBI) is a sudden injury that causes damage to the brain. It may happen when there is a blow, bump, or jolt to the head. This is a closed head injury. A TBI can also happen when an object penetrates the skull. This is a penetrating injury.Symptoms of a TBI can be mild, moderate, or severe. Concussions are a type of mild TBI. The effects of a concussion can…

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Terms

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ICD-10 quick links

Codes

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Z87.820 Personal history of traumatic brain injury Z13.850 Encounter for screening for traumatic brain injury S06.2X0S Diffuse traumatic brain injury without loss of consciousness, sequela S06.2X0A Diffuse traumatic brain injury without loss of consciousness, initial encounter S06.2X0D Diffuse traumatic brain injury without loss of consciousness, subsequent encounter S06.300S Unspecified focal traumatic brain injury without loss of consciousness, sequela S06.2XAS Diffuse traumatic brain injury with loss of consciousness status unknown, sequela S06.300A Unspecified focal traumatic brain injury without loss of consciousness, initial encounter
Common tests

Tests performed

CT head (initial) MRI brain (DAI) GCS assessment ICP monitoring (severe) CBC BMP Coags Toxicology
Common medications

Recognize the drug and the class

Mannitol (ICP — osmotic therapy) Hypertonic saline 3% Levetiracetam (seizure prophylaxis) Avoid: NSAIDs, anticoagulation acutely DVT prophylaxis after 24-48h
Related nursing diagnoses

NANDA diagnoses & care plans

Use these direct links to open nursing diagnoses and care-plan support related to Traumatic Brain Injury.

Decreased Intracranial Adaptive Capacity Impaired Physical Mobility Impaired Memory Risk for Injury Impaired Verbal Communication
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Traumatic Brain Injury What is traumatic brain injury (TBI)?Traumatic brain injury (TBI) is a sudden injury that causes damage to the brain. It may happen when there is a blow, bump, or jolt to the head. This is a closed head injury. A TBI can also happen when an object penetrates the skull. This is a penetrating injury.Symptoms of a TBI can be mild, moderate, or severe. Concussions are a type of mild TBI. The effects of a concussion can… Coma A coma is a deep state of unconsciousness. An individual in a coma is alive but unable to move or respond to his or her environment. Coma may occur as a complication of an underlying illness, or as a result of injuries, such as brain injury.A coma rarely lasts more than 2 to 4 weeks. The outcome for coma depends on the cause, severity, and site of the damage. People may come out of a coma with physical, intellectual… Alzheimer's Disease What is Alzheimer's disease?Alzheimer's disease (AD) is the most common form of dementia among older people. Dementia is a brain disorder that seriously affects thinking and memory skills. If you have AD, it can impair your ability to reason or learn new skills until it becomes difficult to complete daily activities.AD begins slowly over many years. It first involves the parts of the brain that control thought, memo… Mental Disorders What are mental disorders?Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..What are some types of mental disorders?There are many different types of mental disorders. Some common ones includ…