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Increased Intracranial Pressure by Mind Map: Increased Intracranial Pressure
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Increased Intracranial Pressure

 17 year old male  who plays football at the High School level has presented to the emergency department with altered level of consciousness.   Has a history of three epsiodes of loss of consciousness.     Source:  Lewis, S. (2007).  Medical-surgical nursing:  Assessment and management of clinical problems (7th ed.). Philadelphia, PA: Mosby Elsevier.  

Nursing

The overall goals are that the patient with increased ICP will have ICP within normal limits, maintain a patent airway, demonstrate normal fluid and electrolyte balance, and have no complications secondary to immobility and decresed LOC

maintenance of respiratory function

fluid and electrolyte balance

monitoring of intracranial pressure

body position

protection from injury

psychologic considerations

Pathophysiology

brain tissue

blood

cerebrospinal fluid

Assessment

change in level of consciousness

change in vital signs

ocular signs

decrease in motor function

headache

vomiting

Diagnostics

computed tomography (CT) scan

magnetic resonance imaging (MRI)

skull and spinal x-ray studies

electroencephalogram (EEG)

angiography

laboratory studies

Nursing Diagnoses

Ineffective tissue perfusion (cerebral)

Decreased intracranial adaptive capacity

Risk for disuse dyndrome

Interupted family processes

Collaborative Care

The goals of management are to identify and treat the underlying cause of increased ICP and to support brain function.

oxygenation

drug therapy

hyperventilation therapy

nutritional therapy