VP Shunt Malfunction – Caregiver Instructions

What is a VP Shunt?

 A VP (ventriculoperitoneal) Shunt is a surgically placed medical device that drains excess cerebrospinal fluid (CSF) from the brain to the abdomen. It lowers intracranial pressure by diverting fluid through a catheter and one-way valve, reducing risks of brain damage from fluid buildup.

⚠️ A VP Shunt Malfunction is a Medical Emergency!

Common Causes of VP Shunt Malfunction:

  • Shunt blockage
  • Infection
  • Over-drainage or under-drainage
  • Tubing disconnection
  • Shunt displacement

Signs & Symptoms of VP Shunt Malfunction

(Symptoms may develop suddenly or gradually)

General Warning Signs

  • Headache
  • Nausea/Vomiting
  • Lethargy
  • Vision Changes
  • Irritability
  • Fever & Redness

In Infants & Children

  • Bulging fontanelle
  • Enlarged head
  • High-pitched cry

In Adults

  • Balance problems
  • Memory issues
  • Slurred speech

What Caregivers SHOULD NOT Do

  • Do NOT press the shunt
  • Do NOT delay care
  • Do NOT adjust the shunt
  • Do NOT ignore fever

When to CALL 911 or GO TO the ER

  • Severe Headache
  • Repeated Vomiting
  • Decreased Consciousness
  • Seizures
  • Breathing Difficulty
  • Rapid Decline

Documentation & Reporting

  • Record all symptoms
  • Note time started
  • Report & follow up

⚠️ Key Safety Reminder:
VP Shunt malfunctions become life-threatening quickly.


Early recognition and rapid response saves lives.


 

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