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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

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

Nurse interventions

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

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