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Increased Intracranial Pressure

This document discusses increased intracranial pressure (ICP), which is a rise in pressure around the brain caused by factors like cerebral edema or a brain tumor. It outlines steps for assessing ICP such as obtaining vital signs, evaluating pupil response and level of consciousness, and using electronic monitoring. Signs of increased ICP include headache, vomiting, and changes to vital signs, pupil response, or level of consciousness. Treatment focuses on identifying and addressing the underlying cause while also taking steps to lower ICP such as keeping the head elevated and carefully monitoring breathing and body position. Medications like corticosteroids and osmotic diuretics may also be used.

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Nozomi Yuki
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0% found this document useful (0 votes)
123 views2 pages

Increased Intracranial Pressure

This document discusses increased intracranial pressure (ICP), which is a rise in pressure around the brain caused by factors like cerebral edema or a brain tumor. It outlines steps for assessing ICP such as obtaining vital signs, evaluating pupil response and level of consciousness, and using electronic monitoring. Signs of increased ICP include headache, vomiting, and changes to vital signs, pupil response, or level of consciousness. Treatment focuses on identifying and addressing the underlying cause while also taking steps to lower ICP such as keeping the head elevated and carefully monitoring breathing and body position. Medications like corticosteroids and osmotic diuretics may also be used.

Uploaded by

Nozomi Yuki
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INCREASED Evaluating pupil response

DILATED PUPIL
INTRACRANIAL PRESSURE
(ICP)
 a rise in pressure around the brain.
 in the Cerebrospinal Fluid (CSF)
volume, Blood entering the CSF,
Cerebral Edema, Head trauma or
Infection, space-occupying lesions Determining LOC
such as brain tumors, or the
development of Hydrocephalus or
Guillain-Barré Syndrome.

ASSESSMENT

 Obtaining Vital Signs


 Evaluating pupil response
 Determining levels of consciousness
 Motor and Sensory function
 Electronic Monitoring (Subarachnoid
screw, Epidural Sensor, Intraventricular
catheter, Intraparenchymal
monitoring) SIGNS AND SYMPTOMS
VITAL SIGNS  Increased head circumference
 Increase Temperature  Fontanelle changes
 Decrease Pulse  Vomiting
 Eye Changes
 Decrease Respiratory
 Vital Sign Changes
 Increase Pulse Pressure
 Pain (Headache)
 Mentation (Irritability)

SIGNS OF INCREASED ICP IN INFANTS

 Separated sutures of the skull


 Fontanel bulge outward
THERAPEUTIC MANAGEMENT

 The cause of ICP must be identified


and remedied as quickly as possible to
prevent brain injury or compression to
the brain-stem, which can lead to
both cardiac and respiratory failure.
 Actions such as coughing, vomiting,
and sneezing and rapid administration
of intravenous (IV) fluid increase ICP.
 When a parent is burping an infant
after a feeding, caution them to be
careful not to put pressure on the
jugular veins because this is another
action that increases ICP.
 Placing a child in a semi-Fowler's
position (use an infant seat for babies).

MEDICAL INTERVENTION

 Corticosteroid
o Dexamethasone (Decadron)
 Effectiveness:
o Lowering ICP
o Reduce cerebral Edema
 Osmotic Diuretics
o Mannitol
 Effectiveness:
o Reduces pressure

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