The head of the bed should be raised to 30 to 45 degrees. 1. Increased Intracranial Pressure (ICP) Dr. Belal Hijji, RN, PhD February 20 & 22, 2012 * Learning Outcomes By the end of this lecture, students will be able to: Define ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3d2c4e-NDUzO Hydrocephalus can be defined broadly as a disturba… 1. The management of the patient with increased intracranial pressure involves the maintenance of an adequate cerebral perfusion pressure, prevention of intracranial … The nurse will stat the sign and symptoms of increase intracranial pressure. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Hydrocephalus affects hundreds of thousands of Americans, in every stage of life, from infants to the elderly. 2.INTRODUCTION AND CONTEXT Understanding the complexities of nursing care management of an individual with increased ICP is essential for patients’ One complication of meningitis is the development of increased intracranial pressure (ICP). Increased blood pressure and cardiac contractility often follow this adverse effect. 3. The rigid cranial vault contains brain tissue (1,400 g), blood (75 ml), and CSF (75 ml) The volume and pressure of these three components are usually in a state of equilibrium and produce the ICP. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. See our Privacy Policy and User Agreement for details. See our Privacy Policy and User Agreement for details. Intracranial pressure refers to the pressure within the intracranial vault (skull). Elevated intracranial pressure (ICP), or intracranial hypertension, can occur as a complication of neurosurgical … Management of patient with increased intracranial pressure 1. Increased intracranial pressure (ICP) can occur as a sign of a brain tumour, as a consequence of infection or maybe even as a subarachnoid haemorrhage from a fall. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 33 The changes in serum osmolarity following administration are likely to disrupt red blood cell membranes, resulting in decreased serum hemoglobin levels. 2011 Oct;17(5 Neurologic Consultation in the Hospital):1077-93; Perez-Barcena J, Llompart-Pou JA, O'Phelan KH. 2014 Oct;30(4):735-50; Fink ME. Increased Intracranial Pressure and Monitoring Page 6 of 44 Introduction Intracranial pressure refers to the pressure within the intracranial vault (skull). Frequent detailed neuro checks allow changes to be recognized quickly so that interventions can be initiated. At times, these patients may be treated outside of the neurological intensive care unit (ICU) for a variety of reasons. PRESSURE (ICP) The pressure in the cranium is normally less than 20 mm Hg. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The use of ICP monitoring is useful in managing, predicting outcomes, following the progression and guiding interventions of neurological disease states. Read Kinn s The Medical Assistant: An Applied Learning Approach, 13e (Debora... No public clipboards found for this slide. GCS is 11 (E = 3, V = 3, M = 5). Increased blood pressure and cardiac contractility often follow this adverse effect. Monitor Temperature and hemodynamics, including MAP and CPP. Clipping is a handy way to collect important slides you want to go back to later. According to the classic "Monro-Kellie" doctrine hypothesis, the intracranial vault volume within an intact skull is a closed system, meaning that the overall volume of its contents remains fixed. The nurse should avoid flexing or extending the client’s neck or turning the head side to side. Although an elevated ICP is most commonly associated with head injury, it also may be seen as a secondary effect in other conditions, such as brain tumors, subarachnoid hemorrhage, and toxic and viral encephalopathies. NURSING MANAGEMENT INCREASED INTRACRANIAL The term hydrocephalus is derived from two words: “hydro,” meaning water, and “cephalus,” referring to the head. If you continue browsing the site, you agree to the use of cookies on this website. If there is not, an increase in intracranial pressure (ICP) will occur. 3. Regardless of etiology, increased intracranial pressure (ICP) as a result of the primary injury or delays in treatment may lead to secondary (preventable) brain injury. 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