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학습 자료 둘러보기 →The classic triad for shunt malfunction is irritability, vomiting, and a tense, bulging fontanelle. A rapid increase in head circumference (>1 cm in 24 hours) confirms acute decompensation.
This is a neurosurgical emergency. The priority intervention is immediate notification of the neurosurgeon and preparation for an emergency assessment, which may include a CT scan or shunt series.
Never assume vomiting is a primary GI issue in a child with a VP shunt. Administering antiemetics or encouraging feeds masks the cardinal sign of increased intracranial pressure and delays life-saving surgical intervention.
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