University:
Villanova University
Course:
306 | Medsurge
Academic year:

2019
Views:

99

Pages:

1
Author:

sonalhava9qv

ACTIVE LEARNING TEMPLATE: System Disorder Manifestations of increased ICP DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) ICP Pathophysiology Related to Client Problem Pressure exerted by cranial contents on the dural envelope. Health Promotion and Disease Prevention Wear helmet when riding bike or playing sports ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Brain Tumor, Stroke Encephalitis, Seizure Head Injury, Subdural hematoma Hydrocephalus, Meningitis Laboratory Tests Headache, Blurred vision, Confusion, Hypertension, Shallow breathing, vomiting, change in behavior, weakness, lack or Diagnostic Procedures CBC Lumbar puncture Ct scan MRI Neurological Assessment PATIENT-CENTERED CARE Nursing Care securing airway, maintaining adequate oxygenation and ventilation, and Complications Medications Antiglauscoma Loop Diuretics Client Education Teach patient and family on the causes on ICP. Provide education on medication Digoxin Therapeutic Procedures elevate head of bed to thirst degrees, keeping the neck in a neutral position, maintaining a normal bodytemperature Wear your seatbelt when driving and keep your seat back as far as possible from the dashboard or the seat in front of you. Always buckle children into a child safety seat to prevent head injury. Corticosteroid s Antiepileptics Interprofessional Care Neuologist Nurse Physician CSF leakage Airleakage into the subarachnoid space and herniation Overdrainage of CSF leading to ventricular collapse and herniation