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8 Cards in this Set
- Front
- Back
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Barbituates |
To create coma. Requires ventilator support. |
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Acetaminophen |
Prevent hyperthermia. |
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Diuretics |
Mannitol or other osmotic diuretics. |
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Steroids |
Decadron |
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Med management of ICP |
Avoid opiates and sedatives. Barbituates to induce coma (requires vent support), acetaminophen, diuretics (osmotic like mannitol), steroids (decadron), antihypertensives, anticonvulsants, and anti-ulcer agents. |
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Dilantin |
Anticonvulsants. Never put in a hand IV. Can cause purple glove syndrome. |
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Osmotic diuretics Mannitol Urea Glucose |
Increase the osmolality of the brain. Initiated after ICP has exceeded 15-20mmhg for at least 10 minutes. Monitor vital signs, I's & O's, CVP, and PAP before and every hour through administration. Assess for dehydration, muscle weakness, numbness, tingling, paresthesia, confusion, excessive thirst, pulmonary edema. Monitor neurologic status, ICP, renal function, and serum electolytes. Administer with in-line filter. |
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Loop diuretics Furosemide Ethacrynic acid |
Inhibit sodium and chloride re-absorption at the ascending loop of Henle. They cause a reduction in the rate of CSF production, reducing ICP. Monitor vital signs, electrolytes, fluid status, and renal labs. Monitor BP and HR before and during administration. Use infusion pump. |
