Shunt Malfunction For Employers

 

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A protocol to symptoms & suggested action for employers

Signs of acute shunt malfunction or blockage may include:

                         vomiting or nausea                                           photophobia (sensitivity to light)

                         dizziness                                                            seizures (fits)

                         headache                                                            + other visual disturbances

                         drowsiness

 

If someone with a shunt (or who has had Hydrocephalus treated by 3rd ventriculostomy) displays all or some of the above THINK SHUNT

 

ACTION        

1) Ask employee for his/her shunt alert card & look for name of neurosurgeon. Phone neurosurgical unit & speak to Ward Sister or Neurosurgical Registrar. Do NOT leave message with ward clerk or junior

2) Inform next of kin

3) It may be necessary to arrange transport to a neurosurgical unit. 
Do NOT allow employee to be transported to local district hospital (unless unconscious or very ill)

 

ANYONE WITH SHUNT BLOCKAGE (OR MALFUNCTION OF 3RD VENTRICULOSTOMY) NEEDS TO CONTACT THEIR SPECIALIST NEUROSURGICAL UNIT

WITHIN 4 HOURS

OF ACUTE SYMPTOMS DEVELOPING FOR ADVICE

 

Shunt malfunction may present as a chronic condition (ie over some time - weeks or even months)

 

If an employee with Hydrocephalus presents with:             

 

                         fatigue                                           behaviour changes

                         general malaise                           decline in academic or work performance

                         visuo-perceptual problems         being just “not right”

 

THE SITUATION NEEDS TO BE DISCUSSED

 

Do not assume that someone else will tell them or that they will necessarily notice “vague” symptoms. Everyone with Hydrocephalus needs to be well hydrated and have access to clear fluids (not “coke” or any drink containing caffeine) especially in hot weather, after exercise or if involved in heavy/manual work

 

 

 

  

ASBAH relies on people’s generosity and support so we can help our clients who depend on us for help and advice - people with hydrocephalus, spina bifida, their families and carers. To donate click here or call 01733 421327.

This information has been produced by ASBAH’s medical advisers and approved by ASBAH’s Medical Advisory Committee of senior medical professionals. Document review date: June 2009

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