I just like to laugh

lulabelleismyshihtzu:

Increased ICP Symptoms

(0 - 15) = Normal Ranges

**Any patient that becomes acutely unconscious, regardless of the cause should be suspected of having ↑ ICP**

Causes:

·         Mass lesion (tumor)

·         Cerebral edema:

o   Can lead to SIADH or DI

o   Do NOT lay flat (might have edema in brain)

o   Reaches peak in 2 – 4 days, then subsides unless there is underlying pathology (cancer, DM, etc.)

o   Treatment:

§  Mannitol

§  Hypertonic Saline

§  Surgery (depending on cause trauma v. brain tumor)

·         NOT done if metabolic process is cause

·         Increased CSF production

·         Head injury/Trauma

·         Brain inflammation

·         Infection

·         Hemorrhage

·         Stroke

·         Metabolic insult      

- Sustained increase in ICP results in brainstem compression and herniation from one compartment to another.  Herniation = Death.

NURSE:  WATCH FOR A CHANGE IN LEVEL OF CONSCIOUSNESS!!!!

·         Cushing’s Triad:

MEDICAL EMERGENCY

LATE SIGN – too late for treatment L

·         Severely increased ICP

·         Systolic HTN

·         Widening pulse pressure ↑

·         Bradycardia

o   With bounding pulses

·         Irregular Respiratory Rate

o   Cheyne-Stokes

o   Hyperventilation

·         Nursing Management:

o   Adequate circulation + Respiratory = MOST VITAL

§  ALWAYS will be 1^st body functions that are assessed by RN

o   Neurological checks

o   Calculation of ICP via Ventriculostomy

o   Maintain airway patency** ABC’s **

o   Monitor vital signs & neuro assessment frequently

§  *HYPOTHERMIA:

·         AVOID shivering/shake

·         Antipyretics:

o    (Acetaminophen)

·         Cool baths

·         Blankets

·         Ice Packs

·         Intravascular cooling devices

§  Restlessness

§  Lethargy

§  Change in LOC

§  Vomiting

§  Pupillary changes

§  Report changes immediately

o   Body position in head up position

§  ↑ HOB

§  Support head & neck

o   Protection from injury

§  Skin breakdown

·         ROM

§  CSF from ears/nose?

§  NO coughing

§  NO sedatives or narcotics

§  Seizure precautions

o   Maintain fluid & electrolyte balance

§  STRICT I’s & O’s

o   Psychological considerations

§  Talk to unconscious patient

o   Quiet/Calm environment with minimal noise management

(Source: ashlandrenee, via a-modest-mans-only-rebel-son)

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Life

eatsleepdraw:

Catcolor, réalisé sur iPad avec ArtRage…

theatrekidolivia:

ok I seriously can not stop laughing at this gif o m f g

BWAHAHAHAHAHAHAHAHA

(Source: yquepasawuacho, via funnyassstuff)