ICP/ head injury

What factors make up ICP? SATA

• excess hormones

• brain matter

• intravascular blood

• bile

• cerebral spinal fluid

Normal ICP is

What makes up Cushing's Triad? SATA

• bradycardia

• hypertension

• hypotension

• decreased RR

• tachycardia

What is a disadvantage to an intraventricular catheter?

• does not drain CSF

• poor med admin

• very inaccurate

• increased risk of infection

What is a primary pharmologic intervention for IICP?

• spirnolactone

• mannitol

• lasix

• metoprolol

Pt presents to the ED post head collision during a football game. Pt is lethargic and has clear nasal drainage. What is your priority assessment?

• Have pt blow their nose

• Test the nasal drainage for glucose

• Tell pt this nasal drainage is expected

• Send drainage to lab for culture

Pt presents to ED with IICP. What would be your primary intervention?

• provide suctioning

• have pt sit with knees flexed

• have pt cough

• elevate HOB to 30 degrees

Pt is being assessed for a right frontal lobe tumor, what presentation would you expect?

• expressive aphasia

• vertigo

• visual changes

• seizures

Pt has a diffuse axonal injury, their BP is 106/52 and ICP is 14 mmHg. What should you do first?

• suction pt

• chart vital signs

• report BP and ICP to provider

• elevate HOB to 60 degrees

Pt presents with a HA, vomiting, HTN, bradycardia and irregular respirations. What is your priority intervention?

• suction pt

• take pts temperature

• ensure patent airway

• prep for surgery