Acute Care & Meds

Question 1

Signs of increased ICP (triad)

Answer 1

Decreased LOC
1. Bradycardia
2. Hypertension
3. Bradypnea
May have decorticate then decerebrate posturing. Fixed dilated pupil. Focal findings.

Question 2

TBI

Severe vs moderate

Answer 2

Severe GCS 3-8
Moderate 9-12

Both can result in death and herniation. Both need ICU monitoring

Question 3

Normal intracranial pressure

Answer 3

5-15 mmHg

<20 mmHg

Question 4

Signs of inpedimg brain herniation

Answer 4

Headache
Decreased LOC
6th nerve palsy: lateral rectus palsy with down and out position of globe
3rd nerve palsy: dilated pupil, ptosis
Triad: hypertension,bradycardia,irregular resps