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DPT_NEURO_7

INCREASED ICP

QuestionAnswer
Increased ICP is aka Cerebral HTN
ICP normal level 5-15
Cerebral edema that causes increased ICP is caused by CO2 acidosis
It is the pressure of blood flowing to the brain Creberal perfusion pressure
Normal level of CPP 60-100
CPP formula MAP-ICP
Earliest s/sx of increased ICP Dec. LOC
Late s/sc of increased ICP Cushing's triad HyperBradyBrady + hyperthermia
Hypertension in inc. ICP is also characterized by Widened pulse pressure
Normal pulse pressure 30-40
Pulse pressure formula SBP-DBP
It is widened pulse pressure if it exceeds >/= 60
It is narrowed pulse pressure if it is below <20
Late s/sx of increased ICP in terms of pupil Anisocoria (unequal size) & fixed pupil dilation
3 complications of increased ICP Brain herniation SIADH DI
Intervention for increased ICP in terms of position HOB - 15-30 Head in midline position
Intervention for increased ICP in terms of fluid intake Fluid restriction
Intervention for increased ICP in terms of nursing procedure Limit suctioning for </= 10 seconds
Surgery for increased ICP Craniotomy / craniectomy
Difference between Craniotomy / craniectomy Craniotomy - bone flap is replaced immediately at end of proced. Craniectomy - left off temp. To give brain room to expand
Procedure after craniectomy Cranioplasty
DOC for inc. ICP Mannitol / osmitrol
Expected result if taking Mannitol / osmitrol Increased urine output
What does it indicate if mannitol/osmitrol has crystallization It was exposed to low temperature
IV indicated for increased ICP Hypertonic saline
Created by: ah_jusyyy
 

 



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