Increased intracranial Pressure (ICP) Flashcards
1
Q
What is the normal intracranial Pressure ?
A
5-15mm Hg
2
Q
What are the common causes of ICP?
A
-Trauma
- Hemorrhage - Edema -Tumors
3
Q
What do you assess?
A
LOC (it decreases as ICP increases)
4
Q
What’s the earliest sign of ICP?
A
Decreased LOC
5
Q
The client will often appear?
A
- Restless
- Agitated
- Complaining of headaches
6
Q
What will babies physically present with?
A
- Bulging fontanels
7
Q
Late signs of ICP are?
A
- Unilateral pupil dilation
- hypotension
- Bradycardia
8
Q
Client may complain of what?
A
-Projectile vomiting without nausea
9
Q
How will vital signs appear with ICP?
A
- Increase BP
- Increase Temp.
- Increased HR
10
Q
What is widening pulse pressure and how is it related?
A
- When systolic BP goes up Diastolic goes down so they become farther apart (ex:140/40)
11
Q
What is Cushing’s Triad?
A
- Widening pulse pressure
- Cheyne-stokes
- Bradycardia
12
Q
What precautions should the nurse initiate?
A
- Seizure precautions
13
Q
Elevate HOB to?
A
- 10 to 30 degrees to promote jugular venous outflow
14
Q
What meds are prescribed?
A
- Anticonvulsants
- BP meds
- Corticosteroids- Diuretics
15
Q
Tell the client not do?
A
-DO NOT STRAIN, COUGH, OR SNEEZE
