What is the GCS score you should intubate? -Answer 8 and under
What are the limitations of the GCS? -Answer age, drugs, and language
What is normal intracranial pressure? -Answer 5-15 mmHg
What are the signs and symptoms of increased ICP? -Answer change in LOC, change in
speech, change in vital signs, seizures, headache, vomiting, eye changes, posture
changes
What is the first sign of increased ICP? -Answer changes in LOC
What is cushing's triad? -Answer an effect of increased ICP of increased systolic BP,
decreased pulse, and cheyne-stokes respirations
What is Cheyne-Stokes respiration? -Answer it is an abnormal rhythm of breathing with
alternation periods of hyperventilation and apnea
What is Kussmaul respiration? -Answer deep, rapid breathing often induced by acidosis
What condition does Kussmaul respirations commonly occur with? -Answer DKA
, What posture changes occurs with increased ICP? -Answer decerebrate, decorticate,or
flaccid
What is decerebrate posturing? -Answer Extensor response; problem with midbrain or
pons
What is decorticate posturing? -Answer Flexor response; problem with cervical spinal
tract or cerebral hemisphere
What are the eye changes that occur with increased ICP? -Answer papilledema, pupillary
changes, impaired eye movement
What is a common cause of increased brain volume? -Answer cerebral edema; also
caused by tumor, meningitis
What causes an increased blood volume? Answer loss of auto-regulation, decreased
oxygenation, hypercapnia, increased metabolic demands, and obstruction of venous
outflow
What is responsible for an increase in cerebrospinal fluid? Answer hydrocephalus,
blockage of normal flow, obstruction of normal re-absorption, and excess production of
CSF
What does cerebral perfusion pressure depend on? Answer ICP (intracranial pressure),
MAP (mean arterial pressure)
What is a normal CPP? Answer 50-70
What does a low CPP result in? - Answr loss of auto-regulation and hypoxic insult to
brain tissue
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