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15 Cards in this Set
- Front
- Back
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What is ICP
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Sustained elevated pressure that is greater or equal to 10mmHg
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Causes of ICP
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Lesion, Hydrocephalus Cerebral edema Excess CSF and Intracranial hemorrhage
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What are ICP monitoring devices
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Intraventricular catheter, Subarachnoid bolt or screw, Epidural Probe
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Identify risk factors associated with ICP
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medications that alter balance, LOC, and reflex. Drugs Alcohol lack of muscle strength, poor nutrition, contact sports,illness, and violent behavior
BOB |
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Early signs of ICP
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Decreased LOC, confusion, restlessness, Lethargy, Decreased pulse, increase temp, n/v and altered restorations.
BOB |
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Late Signs of ICP
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Coma, Decreased decreased response to pain stimuli and pupils fixed and dilated, Papilla edema
BOB |
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Cushing triad includes
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Bradycardia, increased systolic blood pressure and and increased pulse pressure. These signs indicate an increase in ICP.
Pearson |
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Nursing interventions when giving Mannitol
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Monitor V/S, urinary output, CVP and PAP, before and every hour throughout administration.
BOB |
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Most Frequent cause of ICP
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Cerebral edema
BOB |
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2 common Diagnostic test for ICP
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MRI and CT
BOB |
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Nursing diagnosis for ICP
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Ineffective Tissue Perfusion, Ineffective Breathing Pattern, Risk for aspiration, Risk for infection
BOB |
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Mechanical Ventilation is used to prevent
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Hypoxemia and Hypercapnia
BOB |
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interventions for ICP
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elevate HOB 30-40 degrees, keep neck in a neutral position, Maintain O2 and CO2, Avoid over hydration, avoid valsalva maneuvers, maintain body temp and avoid noxious stimuli, avoid clustering treatments, oxygenate prior to suctioning. Assess ICP monitor readings, Monitor I &O, Assess for signs of ICP, Assess for Cushing Triad, assess motor and verbal responses to stimulation, assess pupillary response to light and accommodation
Pearson |
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ICP patient
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assess 15 minutes to one hour to detect changes in ICP.
Pearson |
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two types of cerebral edema
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Vasogenic and Cytotoxic
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