PDF Diploma in Kenya Registered Community Health Nursing (KRCHN)

Craniotomy: Types, Bone Flap Replacement with Titanium Plates or PEEK, and Pre-Operative and Post-Operative Care

A neurosurgical note on craniotomy as the operation in which a bone flap is temporarily removed from the skull to reach the brain. It covers the definition and the specialised tools used, the imaging that lets the surgeon plan the site of bone removal and the angle of access, how much skull is taken according to the operation, and replacement of the flap with titanium plates and screws, wire or suture, or a PEEK prosthesis when the host bone will not accept it. The nursing sections take the pre-operative neurological assessment of the six aspects, emotional preparation of the client and family, informed consent, the CT, MRI and cerebral angiography, antiseizure cover with phenytoin, the catheter and venous line, and starvation, then the post-operative care and observations.

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