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INCREASED INTRACRANIAL PRESSURE (ICP)

Terms in this set (15)

What is the normal intracranial pressure range?
5-15mm Hg
What are the common causes of ICP?
Trauma, hemorrhage, edema, tumors
What do you assess in ICP?
Level of conscious (It decreases as ICP increases)
This is the earliest sign of ICP.
Decreased level of consciousness (LOC)
The client will often appear with ICP?
Restless, agitated, complains of headaches
Decorticate or decerebrate posturing
Late signs of ICP are?
Unilateral pupil dilation, hypotension, bradycardia
Client may complain of _____ _____ _____ _____. ICP
Projectile vomiting without nausea.
What is widening pulse pressure and how is it related?
When systolic BP goes up and diastolic continues to go down so that they become further apart (ex 135/40 is a bad sign)
What is Cushing's Triad?
Triad/ 3 symptoms; widening pulse pressure, Cheyenne stokes/slow respirations, and bradycardia
During ICP Initiate ____ precautions
Seizure
During ICP Elevate head of bed to ?
10-30 degrees to promote jugular venous outflow
What medications will be prescribed during ICP?
Anticonvulsants/Antisiezure
Blood pressure medications
Corticosteroids
Diuretics (Mannitol)
Tell the client not to ___, ___, or ___. ICP
Strain, cough or sneeze
During ICP Nursing interventions should be to:
Decrease environmental stimuli
Maintain body temperature
Limit fluid intake
Monitor intake and output
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