Raised Intracranial Pressure Flashcards

1
Q

What can make up the extra volume in raised ICP

A

Haematoma

Tumour

Excessive CSF

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2
Q

Normal ICP

A

7-15mmHg

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3
Q

Caused of raised ICP

A

Idiopathic intracranial hypertension

Traumatic head injuries

Infection (meningitis)

Tumours

Hydrocephalus

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4
Q

Clinical features of raised ICP

A

Headache

Vomiting

Reduced levels of consciousness

Papilloedema

Cushing’s triad

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5
Q

What is Cushing’s triad?

A

Widening pulse pressure

Bradycardia

Irregular breathing

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6
Q

Investigations in raised ICP

A

CT/MRI to identify underlying caused

Invasive ICP monitoring

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7
Q

Management of raised ICP

A

Investigate and treat cause

ABCDE

Head elevation to 30º

IV mannitol or hypertonic saline

Controlled hyperventilation

Removal of CSF

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8
Q

Methods for removal of CSF

A

Drain from intraventricular monitor

Repeated lumbar puncture (e.g. idiopathic intracranial hypertension)

Ventriculoperitoneal shunt (for hydrocephalus)

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