Flashcards in Increased Intracranial Pressure Deck (16)
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1
What is the normal intracranial pressure range?
5-15mm Hg
2
What are the common causes of ICP?
Trauma, hemorrhage, edema tumors
3
What do you assess? ____ ____ ____
Level of conscious
(It decreases as ICP increases.)
4
This is the earliest sign of ICP
Decreased level of consciousness
5
The client will often appear?
Restless, agitated, complaining of head aches
6
What will babies physically present with?
Bulging fontanelles
7
Late signs of ICP are?
Unilateral pupil dilation, hypotention, bradycardia
8
Client may complain of ____ ____ ___ ____
Projectile vomiting without nausea
9
How will the vital signs appear with ICP?`
B/P (up), Temp (up), Resp (up then down), Heart rate (up)
10
What is widening pulse pressure and how is it related?
When systolic blood pressure goes up and diastolic continues to go down so that they become further apart (e.g., 135/40 is a bad sign!)
11
What is Cushing's Triad?
Three things; widening pulse pressure, Cheyne stokes respirations, and bradycardia
12
Initiate____ precautions
Seizure
13
Elevate head of bed to?
10 to 30 degress, to promote jugular venous outflow
14
What medications will be prescribed?
Anticonvulsants
Blood pressure medications
Corticosteroids
Diuretics
15
Tell the client not to ____ _____ ____ or ____
Strain, cough, or sneeze
16
