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Complex Care > ICP > Flashcards

ICP Flashcards

1
Q

ICP Interventions

A

-Raise head of bed
-Neck midline
-Mechanical hyperventilation
-Mannitol
-3% Saline
-EVD
-Barbiturates
-Surgery

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2
Q

ICP Normal Value

A

0-15 mm Hg

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3
Q

CPP calculation

A

MAP - ICP = CPP

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4
Q

CPP normal range

A

60-100 mm Hg

*70 or higher in those with abnormal brain pathology

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5
Q

Autoregulation

A

Autoregulation is the ability of cerebral blood
vessels to adjust their diameter to arterial
pressure changes within the brain.

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6
Q

Glascow-Coma Scale

A

-Minimum Score 3
-At 8 intubate

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7
Q

Transient Ischemic Attack (TIA)

A

Transient episode of neurologic dysfunction – no acute infarction of brain

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8
Q

Ischemic Stroke

A

inadequate blood flow to brain
• Thrombotic
• Embolic

*Most common type of stroke

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9
Q

Hemorrhagic Stroke

A

bleeding into brain tissue
• Intracerebral
• Subarachnoid

*Worst headache they’ve ever had!

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10
Q

KNOW SLIDE 18!!!

A
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11
Q

Right-brain damage

A

Stroke on right side of brain
-Paralyzed left side -hemiplegia
-Left-side neglect
-

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12
Q

FAST

A

Face -droop, smile
Arms- close eyes and lift arms
Speech
Time -exact onset of symptoms

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13
Q

Know 12 cranial nerves

A
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14
Q

Ischemic Treatments

A

Stent
• TPA – strict time rules & contraindications
• Long term anticoagulants

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15
Q

Hemorrhagic Treatment

A

• Resection
• Aneurysm clip
• Evacuation of hematoma

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16
Q

Cheyne-Stokes

A

rhythmic up and down of rate & depth of breaths

-Rapid shallow breathing and than a period of apnea

17
Q

ICP Diagnostic

A

> 20 mm Hg for 5 minutes or longer

18
Q

EVD:

A

external ventricular drain
-monitor ICP
-drain of CSF

19
Q

EVD Fluid Used

A

Normal Saline WITHOUT preservatives

20
Q

EVD Monitoring

A

-NO meds NO drawing blood
-Drain off as needed
*when ICP is increased >20 for 5 mins

21
Q

ICP Positioning

A
22
Q

ICP Suctioning

A
23
Q

ICP Neuro Assessment

A

Complex Care (10 decks)

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