The nurse recognizes the presence of Cushing's triad in the patient with which vital sign changes? Show
a. increased pulse, irregular respiration, increased BP A patient admitted with a head injury has admission vital signs of temperature 98.6° F (37° C), blood pressure 128/68, pulse 110, and respirations 26. Which of these vital signs, if taken 1 hour after admission, will be of most concern to the nurse? Sets with similar termsWhich intervention should the nurse implement to prevent an increase in intracranial pressure?Nursing Interventions
Interventions to lower or stabilize ICP include elevating the head of the bed to thirty degrees, keeping the neck in a neutral position, maintaining a normal body temperature, and preventing volume overload.
How can you reduce the risk of increased intracranial pressure?Left untreated, an increase in the intracranial pressure (ICP) may lead to brain injury, seizure, coma, stroke, or death.. taking steps to lower high blood pressure.. stopping smoking.. managing blood sugar levels.. controlling cholesterol levels.. exercising regularly.. Which positions is used to help reduce intracranial pressure?In most patients with intracranial hypertension, head and trunk elevation up to 30 degrees is useful in helping to decrease ICP, providing that a safe CPP of at least 70 mmHg or even 80 mmHg is maintained.
Which intervention helps to manage increased intracranial pressure ICP in a patient who has sustained a traumatic brain injury TBI )?For patients with persistently elevated ICP, osmotic therapy may be used to expand blood volume by shifting fluid from the brain's extracellular to intravascular spaces. Osmotics also reduce blood viscosity, which raises CPP and lowers ICP.
|
Which intervention should the nurse implement to prevent an increase in intracranial pressure quizlet?
zusammenhängende Posts
Urheberrechte © © 2024 membukakan Inc.
