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CCRN Review (Critical Care Certification Review)
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07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review

07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Outline

Nursing Points

General

  1. Supratentorial herniation
    1. Brain shifts down within the skull
    2. Symptoms include a change in LOC
      1. Assessed with the Glasgow Coma Scale
        1. Score based on level of response
          1. Max score is 15, minimum score is 3
            1. Eye Opening
              1. Spontaneous (4)
              2. To verbal (3)
              3. To pain (2)
              4. None (1)
            2. Verbal Response
              1. Oriented (5)
              2. Confused (4)
              3. Inappropriate (3)
              4. Incomprehensible (2)
              5. None (1)
            3. Motor
              1. Obeys commands (6)
              2. Purposeful movement with pain stimuli – has to cross midline (5)
              3. Withdraws with painful stimuli (4)
              4. Flexion in response to painful stimuli (decorticate) (3)
              5. Extension in response to painful stimuli (decerebrate) (2)
              6. None (1)
        2. For supratentorial herniation, pay attention to the eyes
          1. Eyes
            1. Pupils dilate in supratentorial herniation
      2.  Hyperventilation occurs
          1. Causes alkalosis
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CCRN Review (Critical Care Certification Review)

This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.

Course Lessons

1- CCRN Test Overview & Introduction
01.01 CCRN Test Overview for CCRN Review
2- Cardiovascular
02.01 Hypertensive Crisis for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
3- Endocrine
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
4- Hematology
04.01 Hematology for CCRN Review
04.02 Hematology Review Questions for CCRN Review
5- Gastrointestinal
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.03 Jaundice for CCRN Review
05.04 Ruptured Spleen for CCRN Review
05.05 GI Practice Questions for CCRN Review
6- Multisystem
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
06.02 Poisoning for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
7- Neurological
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
07.03 Uncal Herniation for CCRN Review
07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
8- Psychological
08.01 Psychological Review for CCRN Review
9- Renal
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review
09.04 Continuous Renal Replacement Therapy for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
09.06 Renal Practice Questions for CCRN Review
10- Pulmonary
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
10.04 Pulmonary Question Review for CCRN Review