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Flashcards in Increased ICP Deck (15)
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1
Q

Where are the common causes of ICP?

A

Trauma, tumors, hemorrhage, edema,

2
Q

What do you assess

A

Levels of consciousness (it decreases as ICP increases)

3
Q

What is the earliest sign of ICP

____ level of consciousnes

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

A

Decrease level of consciousnes

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

4
Q

What sign will appear in babies?

A

Bulging fontanelle

5
Q

Late signs of ICP

A

Hypotension

Bradycardia

Unilateral pupil dilation

6
Q

The client may complain of

A

Projectile vomiting without nausea

7
Q

How will vital signs appear with ICP?

A

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

8
Q

What is Widening pulse pressure and how is it related?

A

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

A bad sign

9
Q

What is Cushing’s Triad?

A

Three things

  1. Bradycardia
  2. widening pulse pressure
  3. cheyne strokes respiration
10
Q

Initiate_____precautions?

A

Seizure

11
Q

You elevate the head of bed to?

A

10 to 30°, to promote jugular Venous outflow

12
Q

What is the normal intracranial pressure range?

A

5 to 15 mm Hg

13
Q

What medications will be prescribed?

A

diuretics
Blood pressure medication
Anticonvulsants
Corticosteroids

14
Q

To the client to avoid?

A

sneezing,Straining or coughing

15
Q

4 Nurse interventions

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

A

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

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