421 Shock & ICP Monitoring

Front

What are the three indicators of Cushing's Triad?

Back

1) Increased SBP

2) Bradycardia

2. 3) Irregular respiratory pattern

Answer explanation

Cushing's Triad are signs of cerebral herniation and include increased SBP, decreased DBP (wide pulse pressure), bradycardia,and irregular respiratory pattern.

Front

What is the range of a normal ICP?

Back

< 15

Answer explanation

A normal ICP range is 0 to 15 mmHg.

Front

Which ICP monitoring device has the ability to drain cerebrospinal fluid?

Back

External ventricular drain (EVD)

Front

How will pupils present in cerebral herniation?

Back

dilated and nonreactive

Answer explanation

Patients with cerebral herniation will be unresponsive, have nonreactive pupils, posturing and Cushing's triad.

Front

Concern with administering hypertonic 3% saline?

Back

Fluid volume deficit

Front

This type of shock results from a mechanical barrier to filling or emptying

Back

Obstructive

Front

Motor assessment in increased ICP vs. cerebral herniation

Back

Increased ICP = contralateral motor weakness

cerebral herniation= hemiparesis, posturing

Front

Use this crystalloid to treat hypovolemic shock

Back

Lactated ringers

Front

This medication will improve cardiac contractility in cardiogenic shock

Back

Dobutamine

Front

This surgical pump aids the LV to eject blood

Back

Ventricular assist device