331821
Incr. ICP
- Pathophysiology
- Head injury
(most common)
- brain tumors
- subarachnoid hemorrhage
- viral/toxic encephalopathies
- Head injury
(most common)
- Initial s/s
- slow, bounding pulse
- incr. systemic pressure
- resp. irregularities
- slow, bounding pulse
- cerebral blood flow decr. =
- Cushing's Response/reflex
(late sign) - widening pulse
pressure, decr. HR, incr
systolic BP, untreated =
- Cushing's Triad (grave
sign) - bradypnea,
bradycardia, HTN
- Cushing's Triad (grave
sign) - bradypnea,
bradycardia, HTN
- Cushing's Response/reflex
(late sign) - widening pulse
pressure, decr. HR, incr
systolic BP, untreated =
- Complications
- Diabetes Insipidus
- SIADH
- brain stem herniation
- Diabetes Insipidus
- Medical Management
- diuretics (mannitol), fluid restriction,
drain CSF, control fever,
corticosteroid (reduce edema w/
brain tumors)
- diuretics (mannitol), fluid restriction,
drain CSF, control fever,
corticosteroid (reduce edema w/
brain tumors)
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