Spina Bifida

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PREDISPOSING FACTORS

PRECIPITATING FACTORS
-Age
-Heredity
-Nutrition LEGENDS
-Medication
-Unkown

PROCESS REFERENCES:
First month of
Armando Hasudungan. (2017, May 24). Neural tube defect-
pregnancy
overview (signs and symptoms, pathophysiology,
SIGNS AND SYMPTOMS
treatment). [Video file]. Retrieved from
https://www.youtube.com/watch?v=vnJIzbDvxBs
Day 21/Week 3
MANAGEMENT
Embryiology Doctor lib. (n.d.). Atlas of pathophysiology, 2 editionpart II - disorders
neurologic disordersspina bifida. Retrieved from
https://doctorlib.info/physiology/pathophysiology/61.html
Neural tube folds NURSING DIAGNOSIS
and Fuses
Forming Neural
tube
DIAGNOSIS

Fusion begins in
midline and week 3 & 4
Cranial to caudal

Failure fusion of
Completed fusion
segment in Neural
in all segments
Folding

No problem Midline/Bottom
part doesnt fold
properly

Spina Bifida

Close Open

Covered by skin, Malformation of sac of fluid


Bones of spinal
looks normal the membrane protrudes in the
opening of the column doesnt
form completely
back

Small gap in spine


Sign of dimple in
but no opening in Causes spinal
the spine Spinal cord is not
the back cord and
involved, ithe sac meninges
contains covering the spinal
Cerebrospinal cord
Nerves and spine Fluid
Bulging of the skin
cord are not
called Lipoma
damages
Bulge out in the
opening
Signs and Symptoms
CLOSED SPINA -Saclike structure
Signs and symptoms
SPINA BIFIDA BIFIDA protrudes over spine MENINGCOCELE
-Weak leg muscles (in
OCCULTA -Seldom causes of
some cases, the infant
neurologic defect
can't move them at all)
MYELONINGOCELE -Unusually shaped feet, Repair of the sac
uneven hips, or a curved
spine (scoliosis)
-Seizures.
Signs and symptoms Surgical closure of -Bowel or bladder
-back pain. protruding sac problems.
-leg weakness.
pain in the back of the legs.
-loss of bladder or bowel control. -RISK FOR INFECTION
-scoliosis, or a curving of the
-IMPAIRED SKIN INTEGRITY
spine.
- numbness in the back or legs. -RISK FOR INFECTION
- misshapen legs and feet. -IMPAIRED SKIN INTEGRITY

RISK FOR INJURY

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