ICP
Intracranial Pressure
What is brainstorming?
Is a sudden and exaggerated stress response as a result of brain damage
Name two signs of decorticate posturing
Closed hands; legs are internally rotated; feet turned inward; arms are adducted and flexed against the chest
Level II
What is a stimulation program?
Process of providing sensory stimulation in any or all sensory modalities (e.g., visual, auditory, tactile, vestibular, olfactory, gustatory)
Name two symptoms of ICP
Weakness; lethargy; headaches; vomiting; blurred vision; changes in behavior
Name two signs of brainstorming
Restlessness; increased blood pressure; increased temperature; profuse and beaded perspiration; tachypnea; tachycardia
Name one thing podus boots are used for?
Keeping feet in a flexed position; keeping pressure off heel in order to prevent ulcers; relieving pressure
What interventions are implemented in a Rancho level 3?
PROM; Sensory stimulation; visual and auditory tracking activities; adaptations for safety and restraint reduction
What GCS score did Lexi begin at?
4
What is Lexi's ICP level after the sponge bath?
Ranges from 30-35 mmHG
What is another name for brainstorming?
paroxysmal sympathetic hyperactivity or neurostorming
Name one thing air-filled splints are used for
Immobilization; cushioning; protection
Name three signs someone is experiencing a level 4?
Screaming; hitting; throwing objects; poor recognition of family or friends; pulling out lines and leads; poor concentration
Name an intervention that can help with visual stimulation
Pictures of familiar faces or places; adapting environment with familiar items
What are two ways to treat elevated ICP?
HOB elevation; medications; hyperventilation; draining extra fluid
Name one use for the cooling blanket
Decreases heart rate; decreases respiration rate;
What is the average degree of HOB position?
30 degrees
What is one environmental and one physical management strategy for a level 4?
Environment: quiet; dimly lit; orientation questions; scheduled daily routine
Physical management: use of equipment for safety (e.g., mittens); multiple breaks; staying calm; engaging in gross motor tasks (e.g., pulled in wheelchair; washing face)
Visual; auditory; tactile; olfactory; pain
What is the normal ICP range?
5 to 15 mm Hg
The PNS responds to the SNS acting like a brake from fight or flight and relaxing the body.
Cognitive activities (short-term memory games); simple meal preparation; adaptations to surroundings (labels on drawers)
Name an intervention that can help increase auditory simulation?
Use of family member's voice through recording; familiar television show