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NUR 211 Neuro
- Intracranial Pressure I.C.P
Answer 0-15.
Increased is defined as 20 or greater for at least 5 minutes
- Cerebral Perfusion Pressure C.P.P
Answer 60-100. Must be 70 or greater in patients with brain problems. Determined be M.A.P. and I.C.P.
- Hypercapnia
Answer excessive carbon dioxide in the blood. Leads to vessel dilation.Leads to *increased blood perfusion to brain*
4. S.A.H.
Answer Subarachnoid Hemorrhage
- Intraventricular Drainage System
Answer Most common. Used for intermittent or continuous drainage of CSF. Accurate.
*Infection*
- Signs and Symptoms of Increased I.C.P.
- / 3
Answer Headache, Visual Disturbances, Hypertension, L.O.C. changes, Decrease on Glasgow Coma Scale, Pupil changes (can be unilateral), Nausea and Vomiting, and Photosensitivity
- Decrease I.C.P.
Answer Head of Bed Elevated at least 30 degrees and keep head midline.
Space Nursing Care.Keep Suctioning to a minimum. *No more than 2 passes*. Keep C.O.2. Low. *WNL*.Minimize simulation. Keep body temp low.
- Mannitol
Answer Osmotic Diuretic. Neuro assessment q 1hr.
Check vial for crystals, dissolve crystals. Must use filter.
- P.a.O.2
Answer
80-100
- P.a.C.O.2
Answer 35-45
- Furosemide
Answer Loop Diuretic
- Isotonic Solutions
Answer D5W, NS (0.9% NaCl), Ringers Lactate,
- Therapeutic M.A.P.
Answer 70-90
- Linear Basilar Skull Fracture
Answer 2 / 3
Fracture at base of the skill that may be hidden on on a X-Ray or M.R.I.
*Rhinorrhea, Otorrhea, Battle Sign, and Raccoon Eyes*
- Battles Sign
Answer Post auricular bruising
- Raccoon Eyes
Answer Periorbital Bruising
- Rhinorrhea
Answer Clear nasal discharge. Spinal Fluid leaking from noise.
- Otorrhea
Answer Spinal fluid leaking from ears
- Valproic Acid (Depakote) Toxicity
Answer Liver.
liver function tests, platelet count, and ammonia level
- Nursing Considerations for Mannitol
Answer vital signs, urine output, CVP, PAP, renal function, ICP, and chemistry panel
- Desmopressin (DDAVP)
- / 3
Answer Synthetic vasopressin. used to treat Diabetes In- sipidus.
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