NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Displays no signs or symptoms of infection
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Attains desired fluid balance
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Maintains a patent airway
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Demonstrates optimal cerebral tissue perfusion
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Detailed explanation-1: -Nursing Interventions If a patient is suspected of having increased ICP, immediate interventions should include securing the airway, maintaining adequate oxygenation and ventilation, and providing circulatory support as needed.
Detailed explanation-2: -Your role in patient care Reduce environmental stimuli (such as voice volume) that can increase ICP. To improve venous return, keep the patient’s head and neck aligned and keep the head of the bed above 30 degrees but below 90 degrees.
Detailed explanation-3: -The answer is C. A ventriculostomy is a catheter inserted in the area of the lateral ventricle to assess ICP. It will help drain CSF during increase pressure readings and measure ICP. The nurse must monitor for ICP levels greater than 20 mmHg and report it to the doctor.
Detailed explanation-4: -Medical management of increased ICP should include sedation, drainage of CSF, and osmotherapy with either mannitol or hypertonic saline. For intracranial hypertension refractory to initial medical management, barbiturate coma, hypothermia, or decompressive craniectomy should be considered.