Increased Intracranial Pressure

Question 1

How does increased ICP present in infants?

Answer 1

-bulging fontanels
-irritability
-high-pitched cry
-sunset eyes (sunset eyes is when 3/4ths of baby’s eyes are white space and the baby’s actual pupil sits right above their lower eyelid, the pupil acting as the sun in sunset)

Question 2

How does increased ICP present in older children?

Answer 2

EARLY SIGNS OF increased ICP in OLDER KIDS is SUBTLE!
-headache
-vomiting
-personality changes
-irritability
-fatigue
-double vision or blurred vision

Vital signs are a LATE sign on increased ICP on with an older child. If increased ICP, child will experience increased bp, decreased RR, and decreased HR