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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

Nursing interventions would be to?

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

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