Quiz 4

Question 1

Intracranial pressure

Answer 1

The amount of pressure within the skull
Normal 1-10
ICP >15-20 sustained is a problem

Question 2

Cerebral perfusion

Answer 2

Pressure required to perfuse the brain
MAP-ICP
CPP must be at least 60

Question 3

ICP priority assessments

Answer 3

Change in LOC
Headache
N and V
Agitation
Change in behavior

Question 4

High ICP treatment

Answer 4

O2
elevate HOB
Low stimulus( turn off lights)
Brain the brain
Intubated(pain and sedation)

Question 5

Meds for increased ICP

Answer 5

Mannitol

Question 6

Mannitol

Answer 6

Osmotic diuretic
Draws fluids out of brain cells
IV administration
Serum osmolality must be

Question 7

How do we know mannitol is effective

Answer 7

Increased LOC
Decreased ICP
increased urine output

Question 8

Sedation

Answer 8

Pain, low stim
Propofol
Pentobarbital

Question 9

Analgesia

Answer 9

Fentanyl

Pain, decreased O2 demand

Question 10

Antipyretic

Answer 10

Pain, fever, infection

Acetaminophen

Question 11

Antihypertensive

Answer 11

CPP at optimal range

Question 12

Vasoconstrictor

Answer 12

Prevent increase in ICP

Norepinephrine

Question 13

Anticonvulsant

Answer 13

Prevent seizure

Phenytoin

Question 14

Sympathetic storming

Answer 14

Release of fight or flight hormones by adrenal glands

Question 15

Symptoms of sympathetic storming

Answer 15

GCS of 3-8
Agitation
Posturing
HTN
Increased ICP
Sweating
Tachy

Question 16

Interventions for sympathetic storming

Answer 16

Adsf

Question 17

What happens if no interventions for storming

Answer 17

Asked

Question 18

Brain herniation

Answer 18

ICP out of control leads to brain death
Swollen brain tissue is trapped
Finds opening in C1

Question 19

SIADH

Answer 19

Hypervolemic(dilute)
Hyponatremic
Low urine output-highly concentrated

Question 20

Treatment for SIADH

Answer 20

Fluid restriction
3% saline(drive up sodium)
Diuretic
Neuroassement
Electrolytes

Question 21

Diabetes insipid us

Answer 21

Deficient ADH
Large amounts of diluted urine
Hypernatremia

Question 22

Treatment of diabetes insipidus

Answer 22

Fluid that comes out goes back in
ADH(short term)
Demopressin
I/O

Question 23

Monro-kellie theory

Answer 23

3 components of brain must remain relatively constant

Question 24

Increased ICP

Answer 24

Increased tissue, blood, CSF

Decreased CPP

Question 25

Causes of increased ICP

Answer 25

``` Hematoma Contusion Tumor Edema Head injury ```

Question 26

Symptoms on increased ICP

Answer 26

``` Change in LOC Change in vitals Dilation of pupil Decrease motor function Headache Vomitting ```

Question 27

Complications of increased ICP

Answer 27

Herniation | Decreased perfusion

Question 28

Cushings triad

Answer 28

Hypertension Bradycardia Irregular respirations Medical emergency

Question 29

Diagnosis of increased ICP

Answer 29

``` CT MRI EEG ICP measurement GCS ```

Question 30

Ventriculostomy

Answer 30

Catheter inserted in brain ventricle hooked to a monitor | Must be level

Question 31

Types of TBI that cause increased ICP

Answer 31

``` Concussion DAI Hematoma Subdural hematoma Any head injury ```

Question 32

Craniotomy

Answer 32

Burr hole and saw