Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Study2 > Increased ICP General Care > Flashcards

Increased ICP General Care Flashcards

1
Q

Normal ICP?

A

0-15 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Early signs of increased ICP

Earliest sign?

A

Change in LOC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Early signs of increased ICP

Speech

A

Slurred or slowed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Early signs of increased ICP

Delay in response to ____ suggestion

A

Verbal

*slow to respond to commands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Early signs of increased ICP

Increase ___

A

Drowsiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Early signs of increased ICP

___ with no apparent reason

A

Restless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Early signs of increased ICP

Confused?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Late signs of increased ICP

Marked change in LOC progressing to ___ then ___

A

Stupor then coma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Late signs of increased ICP

VS changes?

A

Cushing triad!!! –Immediate intervention to prevent brain ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Late signs of increased ICP

What is cushing triad?

A

Systolic HTN with widening pulse pressure
Slow, full, bounding pulse
Irregular respirations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Narrow pulse pressure = ?

A

Cardiac tamponade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Wide pulse pressure= ?

A

Late sign of increased ICP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Late signs of increased ICP

What respiration pattern?

A

Cheyne stokes or ataxic respirations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Late signs of increased ICP

Posturing

A

A response to painful or noxious stimuli

*posturing indicates that the motor response centers of the brain are compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Late signs of increased ICP

What is decorticate posturing?

A

Arms flexed inward and bent toward the body and legs are extended

Arms flexed
Legs extended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Late signs of increased ICP

What is decerebrate posturing?

A

All 4 extremities in rigid extension

17
Q

Late signs of increased ICP

What is worse: decorticate or decerebrate?

A

Decerebrate

18
Q

Misc. signs?

A

HA
Changes in pupils and pupil response
Projectile vomiting

19
Q

Misc. signs

Pupils in profound coma?

A

Fixed and dilated

20
Q

Misc. signs

Why projectile vomiting?

A

Vomiting center in brain is being stimulated

21
Q

Complications of increased ICP?

A

Brain herniation

DI and SIADH

22
Q

Treatment of increased ICP

Maintain ___

A

Oxygenation –most controlled with vent

*decreased O2 and high CO2 cause cerebral vasodilation which increases ICP

23
Q

Treatment of increased ICP

Maintain adequate cerebral perfusion. How?

A

Don’t want hypotension or bradycardia bc that would decrease brain perfusion

Give isotonic saline and inotropic agents (dobutamine and norepinephrine)

24
Q

Treatment of increased ICP

Keep temp at?

A

Below 100.4 F

  • increased temp = increase cerebral metabolism = increase ICP
  • hypothalamus may not work and you would need to get a cooling blanket
  • hypotheremia is used as a tx to decrease cerebral edema by decreasing the metabolic demands of brian
25
Q

Treatment of increased ICP

HOB

A

Elevate

Keep head midline so jugular veins can drain

*watch ICP monitor when turning client

26
Q

Treatment of increased ICP

Avoid

A 
Restraints
Bowel/bladder distention
Hip flexion
Valsalva 
Isometrics
No sneezing
No nose blowing 
Limit suctioning and coughing
27
Q

Treatment of increased ICP

Nursing interventions

A

Space them –anytime you do something with client, it increased ICP

28
Q

Treatment of increased ICP

Monitor GCS…explain

A

GCS below 8, intubate

29
Q

Treatment of increased ICP

VS

A

Monitor for cushing

30
Q

Treatment of increased ICP

What does barbiturate induced coma do?

A

Decreases cerebral metabolism

31
Q

Treatment of increased ICP

What does osmotic diuretics do?

A

Pull fluid from brain cells and filters out through kidneys

*osmotic diuretics can crystallize

32
Q

Treatment of increased ICP

What do steroids like dexamethasone do?

A

Decrease cerebral edema

33
Q

Treatment of increased ICP

ICP monitoring device
Greatest risk?
No loose ____
Keep dressings moist or dry?

A

Ventricular catheter monitor or subarachnoid screw

Infection

No loose connections

Keep dressings DRY (bacteria can travel through something that is wet much easier than something that is dry)

Study2 (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions