Which of the following is contraindicated in a patient with increased ICP Quizlet
|
Show Recommended textbook solutions
 Pharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 388 solutions
Clinical Reasoning Cases in Nursing7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions
Medical Terminology for Health Professions8th EditionAnn Ehrlich, Carol L Schroeder, Katrina A Schroeder, Laura Ehrlich 1,792 solutions
Health: The Basics12th EditionRebecca J. Donatelle 319 solutions 15. Which patient below with ICP is experiencing Cushing's Triad? A patient with the following: A. BP 150/112, HR 110, RR 8 B. BP 90/60, HR 80, RR 22 C. BP 200/60, HR 50, RR 8 D. BP 80/40, HR 49, RR 12 Terms in this set (64)RATIONALE: The nurse should assess the client for spinal shock, which is the immediate response to spinal cord transection. Hypotension occurs and the body loses core temperature to environmental temperature. The nurse must treat the client immediately to manage hypotension and hypothermia. The nurse should also ensure that there is an adequate airway and respirations;
there may be respiratory compromise due to intercostal muscle involvement. Once the client is stable, the nurse should conduct a complete neurologic check. The nurse should take all precautions to keep the client's head, neck, and spine position in straight alignment. If the client is conscious, the nurse should briefly assess major reflexes, such as the Achilles, patellar, biceps, and triceps tendons, and sensation of the perineum for bladder function. CORRECT ANSWER: C,D,E Students also viewedRecommended textbook solutions
The Language of Composition: Reading, Writing, Rhetoric2nd EditionLawrence Scanlon, Renee H. Shea, Robin Dissin Aufses 661 solutions
Literature and Composition: Reading, Writing,Thinking1st EditionCarol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses 1,697 solutions
Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Technical Writing for Success3rd EditionDarlene Smith-Worthington, Sue Jefferson 468 solutions Recommended textbook solutions
Pharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 388 solutions
Introduction to Global Health2nd EditionKathryn H Jacobsen 116 solutions Epidemiology 1012nd EditionRobert H Friis 152 solutions Pharmacology for Nurses6th EditionCarol Urban, Michael P Adams, Norman Holland 491 solutions What is contraindicated in ICP?Steroids are contraindicated in treating raised ICP or for improving outcome secondary to TBI or spontaneous hemorrhage (Level I Evidence)7. Use of methylprednisolone for 48 hours in CRASH trial resulted in a significant increase in the risk of death.
What should I avoid with ICP?Avoid processed meats like deli meats, bacon, hot dogs and sausage. Dairy products to reduce or avoid include full fat milk, cream and full fat cheeses such as cheddar. Avoid high amounts of caffeine.
Which of the following nursing measures should be avoided in a patient with increased intracranial pressure?Hyperventilation causes hypocapnia, which causes vasoconstriction, thus decreasing cerebral blood flow. Hyperventilation to moderate levels (PaCO2 = 25-35) is generally considered a short-term temporizing measure to decrease ICP. Extreme hyperventilation (PaCO2 <25mmHg) should be avoided (Levin et al., 2010).
Which of the following drugs would be used to treat a patient who has increased ICP resulting from cerebral edema?Mannitol. Mannitol is a sugar alcohol (C6H14O6) that decreases water and sodium reabsorption in the renal tubule and has been used for the reduction of ICP or cerebral edema since the 1960s. Mannitol lowers ICP through two distinct effects in the brain.
|
