MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

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 triad. Which are the identified symptoms associated with Cushing triad that the nurse documents? (Select all that apply.)
A
a. Bradycardia
B
b. Bradypnea
C
c Hypertension
D
d. Tachycardia
E
e. Pupillary constriction
Explanation: 

Detailed explanation-1: -Widened pulse pressure. Bradycardia. Irregular respirations (also known as Cheyne–Stokes respirations) Hypertension, or increased blood pressure. Additional symptoms.

Detailed explanation-2: -Cushings reflex leads to the clinical manifestation of Cushings triad. Cushings triad = hypertension, bradycardia, and irregular respirations (Cheyne-Stokes breathing).

Detailed explanation-3: -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-4: -The Cushing reflex is a physiological nervous system response to acute elevations of intracranial pressure (ICP), resulting in the Cushing triad of widened pulse pressure (increasing systolic, decreasing diastolic) bradycardia, and irregular respirations.

There is 1 question to complete.