NUR 211 Neuro
1. Intracranial Pressure I.C.P
Answer
0-15.
Increased is defined as 20 or greater for at least 5 minutes
2. Cerebral Perfusion Pressure C.P.P
Answer
60-100. Must be 70 or greater in patients with brain problems. Determined be M.A.P. and I.C.P.
3. Hypercapnia
Answer
excessive carbon dioxide in the blood. Leads to vessel dilation.
Leads to *increased blood perfusion to brain*
4. S.A.H.
Answer
Subarachnoid
Hemorrhage
5. Intraventricular Drainage System
Answer
Most common. Used for intermittent or continuous drainage of CSF. Accurate.
*Infection*
6. Signs and Symptoms of Increased I.C.P.
Answer
Headache, Visual Disturbances, Hypertension, L.O.C. changes, Decrease on Glasgow Coma
Scale, Pupil changes (can be unilateral), Nausea and Vomiting, and Photosensitivity
,7. Decrease I.C.P.
Answer
Head of Bed Elevated at least 30 degrees and keep head midline.
Space Nursing Care.
Keep Suctioning to a minimum. *No more than 2 passes*. Keep C.O.2. Low. *WNL*.
Minimize simulation. Keep body temp low.
8. Mannitol
Answer
Osmotic Diuretic. Neuro assessment q 1hr.
Check vial for crystals, dissolve crystals. Must use filter.
9. P.a.O.2
Answer
80-100
10. P.a.C.O.2
Answer
35-45
11. Furosemide
Answer
Loop Diuretic
12. Isotonic Solutions
Answer
D5W, NS (0.9% NaCl), Ringers Lactate,
13. Therapeutic M.A.P.
Answer
70-90
14. Linear Basilar Skull Fracture
Answer
, Fracture at base of the skill that may be hidden on on a X-Ray or M.R.I.
*Rhinorrhea, Otorrhea, Battle Sign, and Raccoon Eyes*
15. Battles Sign
Answer
Post auricular bruising
16. Raccoon Eyes
Answer
Periorbital Bruising
17. Rhinorrhea
Answer
Clear nasal discharge. Spinal Fluid leaking from noise.
18. Otorrhea
Answer
Spinal fluid leaking from ears
19. Valproic Acid (Depakote) Toxicity
Answer
Liver.
liver function tests, platelet count, and ammonia level
20. Nursing Considerations for Mannitol
Answer
vital signs, urine output, CVP, PAP, renal function, ICP, and chemistry panel
21. Desmopressin (DDAVP)
Answer
Synthetic vasopressin. used to treat Diabetes In- sipidus.
1. Intracranial Pressure I.C.P
Answer
0-15.
Increased is defined as 20 or greater for at least 5 minutes
2. Cerebral Perfusion Pressure C.P.P
Answer
60-100. Must be 70 or greater in patients with brain problems. Determined be M.A.P. and I.C.P.
3. Hypercapnia
Answer
excessive carbon dioxide in the blood. Leads to vessel dilation.
Leads to *increased blood perfusion to brain*
4. S.A.H.
Answer
Subarachnoid
Hemorrhage
5. Intraventricular Drainage System
Answer
Most common. Used for intermittent or continuous drainage of CSF. Accurate.
*Infection*
6. Signs and Symptoms of Increased I.C.P.
Answer
Headache, Visual Disturbances, Hypertension, L.O.C. changes, Decrease on Glasgow Coma
Scale, Pupil changes (can be unilateral), Nausea and Vomiting, and Photosensitivity
,7. Decrease I.C.P.
Answer
Head of Bed Elevated at least 30 degrees and keep head midline.
Space Nursing Care.
Keep Suctioning to a minimum. *No more than 2 passes*. Keep C.O.2. Low. *WNL*.
Minimize simulation. Keep body temp low.
8. Mannitol
Answer
Osmotic Diuretic. Neuro assessment q 1hr.
Check vial for crystals, dissolve crystals. Must use filter.
9. P.a.O.2
Answer
80-100
10. P.a.C.O.2
Answer
35-45
11. Furosemide
Answer
Loop Diuretic
12. Isotonic Solutions
Answer
D5W, NS (0.9% NaCl), Ringers Lactate,
13. Therapeutic M.A.P.
Answer
70-90
14. Linear Basilar Skull Fracture
Answer
, Fracture at base of the skill that may be hidden on on a X-Ray or M.R.I.
*Rhinorrhea, Otorrhea, Battle Sign, and Raccoon Eyes*
15. Battles Sign
Answer
Post auricular bruising
16. Raccoon Eyes
Answer
Periorbital Bruising
17. Rhinorrhea
Answer
Clear nasal discharge. Spinal Fluid leaking from noise.
18. Otorrhea
Answer
Spinal fluid leaking from ears
19. Valproic Acid (Depakote) Toxicity
Answer
Liver.
liver function tests, platelet count, and ammonia level
20. Nursing Considerations for Mannitol
Answer
vital signs, urine output, CVP, PAP, renal function, ICP, and chemistry panel
21. Desmopressin (DDAVP)
Answer
Synthetic vasopressin. used to treat Diabetes In- sipidus.
