MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse caring for a patient with head trauma will be monitoring the patient for Cushing’s triad. What will the nurse recognize as the symptoms associated with Cushing’s triad? Select all that apply.
A
Tachycardia
B
Bradycardia
C
Hypertension
D
Bradypnea
E
Pupillary constriction
Explanation: 

Detailed explanation-1: -Cushing’s triad consists of bradycardia (also known as a low heart rate), irregular respirations, and a widened pulse pressure.

Detailed explanation-2: -The Answer Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited.

Detailed explanation-3: -Cushings reflex leads to the clinical manifestation of Cushings triad. Cushings triad = hypertension, bradycardia, and irregular respirations (Cheyne-Stokes breathing).

Detailed explanation-4: -Cushing’s triad is a clinical triad variably defined as having: Irregular, decreased respirations (caused by impaired brainstem function) Bradycardia. Systolic hypertension (widening pulse pressure)

There is 1 question to complete.