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Flashcards in Increased ICP Deck (15):
1

Where are the common causes of ICP?

Trauma, hemorrhage, edema, tumors

2

What do you assess

Levels of consciousness (it decreases as ICP increases)

3

What is the earliest sign of ICP

____ level of consciousnes


The client will often appear ___, ____, and complaining of _____

Decrease level of consciousnes


The client will often appear restless, agitated, and complaining of headaches

4

What sign will appear in babies?

Bulging fontanelle

5

Late signs of ICP

Unilateral pupil dilation

Hypotension

Bradycardia

6

The client may complain of

Projectile vomiting without nausea

7

How will vital signs appear with ICP?

BP up,
Temp up,
respiration up then down
Heart rate up

8

What is Widening pulse pressure and how is it related?

Win systolic blood pressure goes up and diastolic continues to go down so they become further apart!!

A bad sign

9

What is Cushing's Triad?

Three things
1.widening pulse pressure
2.cheyne strokes respiration
3. Bradycardia

10

Initiate_____precautions?

Seizure

11

You elevate the head of bed to?

10 to 30°, to promote jugular Venous outflow

12

What is the normal intracranial pressure range?

5 to 15 mm Hg

13

What medications will be prescribed?

Anticonvulsants
Blood pressure medication
Corticosteroids
diuretics

14

To the client to avoid?

Straining
coughing or sneezing

15

4 Nurse interventions

____ environmental stimuli
____ body temperature
____ intake and output
___ fluid intake

Decrease environmental stimuli
Maintain body temperature
Monitor intake and output
Limit fluid intake

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