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15 Cards in this Set
- Front
- Back
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Mannitol hourly monitoring
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V/S, I&O PAP, CVP
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Cushing Triad
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Increase in Systolic pressure
Bradycardia Apnea |
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two most common tests for ICP
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MRI & CT
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Interventions for preventing increased in ICP
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HOB 30-40
Keep kneck in a neutral position maintain o2 and Co2 avoid valsalva maneuvers maintain temp avoid noxious stimuli avoid clustering treatments o2 prior to suctioning |
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ICP
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sustained elevated pressure 10mmHg
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Causes Of ICP
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Head trauma
tumor stoke inflammation hemorrhage abscesses |
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risk factors
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medications that alter LOC
Poor nutrition Drugs alcohol Unhealthy behavior Contact Sports |
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Mechanical Vent prevents
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Hypoxia and hypercapnia
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Cerebral Perfusion Pressure
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Maintain o2 with partial pressure of arterial o2 at 100mmGh and CO2 at 35mmGh
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early signs of ICP
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Behavior and personally changes LOC, confusion, ect..
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Late Signs in ICP
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Pupils fixed and dilated, Coma decrease response to pain stimuli and papilla edema
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suctioning
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keeps the O2 level up and no longer than 10 seconds
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Nursing care
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Provide a quite environment
avoid jarring the bed try to limit situations that cause emotions upset, |
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Nursing dsg
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Ineffective tissue perfusion
ineffective breathing pattern risk for aspiration risk for infection |
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Early manifestations of ICP
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Alterations of Respiration's and change in LOC
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