The Rest of ICP Flashcards
1
Q
Should a patient cough if they have IICP?
A
no, it can increase the pressure even more
2
Q
How to optimize cerebral tissue perfusion? (3)
A
position HOB 30-45 degrees
- keep head in neutral position
- extreme hip flexion is avoided
3
Q
potential complications of IICP
A
- brain herniation
- seizure
- stroke
4
Q
What causes diabetes insidious?
A
Decreased secretion of ADH causing excessive thirst and UO
5
Q
What causes SIADH?
A
increased secretion of ADH causing decreased UO and fluid retention
6
Q
s/s diabetes insipidus (6)
A
- extreme thirst
- dry mucous membranes
- increased UO
- pale urine
- hypernatremia
- fatigue
7
Q
nursing interventions for DI (4)
A
- s/s hypovolemic shock
- electrolyte levels
- I/O
- daily weight
8
Q
Tx DI
A
- desmopressin
- FE replacement
9
Q
SIADH s/s (8)
A
- edema
- ALOC
- decreased UO
- concentrated urine
- hyponatremia
- seizures
- muscle cramps
- coma
10
Q
nursing interventions for SIADH (6)
A
- electrolyte levels
- I/O
- daily weight
- cardiac rhythm
- resp. status
- fluid restriction (less than 800 ml/day)
11
Q
tx SIADH (2)
A
diuretics
replace Na
