ICP Flashcards

1
Q

Medications to decrease ICP

A

Osmotic Diuretics (mannitol) or hypertonic saline (reduce fluid from body tissues)

Dexamethasone (Decadron) decrease inflammatory response and cerebral edema if the ICP is caused by a brain tumor or abscess

Histamine blocker or proton inhibitors to protect gastric mucosa

Elevate HOB 20-30 degrees/ Hip flexión less than 90 degrees

May need Fluid Drainage

Cerebral Perfusion Pressure (CPP) is maintained at 60 to 70 mm Hg or higher to ensure oxygenation of the brain tissue.

Short term hyperventilation

Barbiturates for heavy sedation and slow metabolism

Cooling blanket for fever control or warming methods to prevent shivering

Craniectomy - a portion of the skull is removed and dura is opened to allow expansion of swollen brain without compression.

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