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9 Cards in this Set
- Front
- Back
(Dunn)
managing the acute increase in intracranial pressure (ICP) in traumatic head injury? |
Neuroprotective Strategy
2. Airway hyperventilation 3. Hyperosmolar therapy 4. Surgical intervention |
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(Dunn)
Which of the following is incorrect regarding acute interventions for increased intracranial pressure? A. Hyperventilation reduces intracranial pressure by reducing CBF. B. The PCO2 should be maintained around 35 mmHg when hyperventilating. |
C. onset within minutes-lasting up to 1 hour.
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(Dunn)
Which of the following is correct regarding Interventions for traumatic-induced increased intracranial pressure? |
C.
A = aids venous drainage B= MAP > 80 mmHg D = removes water from "normal" brain tissue. |
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(Dunn)
Which is incorrect regarding Secondary brain injury from trauma? |
D. Usually more sequelae in young adults compared with elderly / Children due to :
- increased brain : skull volume ratio |
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List 6 techniques in the prevention of secondary brain injury from trauma. |
1. Posture elevate head of bed 30 degrees 2. Airway interventions 3. Fluid balance 4. Hyperosmolar therapy 5. Seizure prophylaxis 6. Surgical intervention |
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What 2 main ventilatory interventions exist post intubation for preventing secondary brain injury in trauma? |
1. Hyperventilate - aim PCO2 30-35 2. Oxygenate to PO2 100mmHg |
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What core fluid balance / haemodynamic interventions / parameters exist fro preventing secondary brain injury in trauma ? |
1. Maintain euvolaemia 2. Target MAP aim > 80 mmHg |
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What are the 2 main hyperosmolar therapy options for managing prevention of secondary brain injury in trauma? |
1. Mannitol 20% 0.5-1.0 G/kg over 30 minutes [ induces osmotic diuresis ] 2. 3% NaCl 100mL over 30 minutes [ induces direct increase in serum osmolarity ] |
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What 2 main Neurosurgical Interventions exist for the management of preventing secondary brain injury post trauma ? |
1. Haematoma drainage 2. Decompression of secondary hydrocephalus [ EVD - extraventricular drain insertion] |