Intracranial Regulation
The ability of the cranial contents (brain, blood, cerebral spinal fluid) to maintain normal intracranial pressure.
What is normal ICR?
Sustained elevated pressure in the cranial cavity of 15 mmHg or higher in an adult.
What is increased intracranial pressure?
Includes emotional response, mood, cognitive function, and personality.
What is a complete mental status exam?
These include observation, physical assessment and patient interview.
What are nursing assessments for seizure disorder?
Diagnositc tests to assess for IICP.
What are CT, MRI and invasive ICP monitoring?
Within or inside.
What is "intra"?
Sustained elevated pressure in the cranial cavity of greater than 20 mmHg in an adult.
What is a medical emergency?
Decreased LOC.
What is the earliest sign of IICP?
A preventive strategy when a patient who experiences seizure disorder is receiving care in acute care settings.
What is providing safety?
Proper this places the head of bed at 30 degrees with proper alignment of head and neck.
What is body position?
Relating to, involving, or located in the skull, especially the part covering the brain.
What is "cranial"?
In adults, a fixed size.
What is the cranial vault?
Headache, vomiting (not preceded by nausea), papilledema, and periorbital bruising.
What are signs of IICP?
Position patient during a seizure to maintain this as much as possible.
What is airway?
Distributing care activities over a longer period of time to decrease oxygen demand.
What is activity management?*
*clustered care may increase oxygen demand and compromise cerebral perfusion.
Facilitated by the work of the central nervous system (brain & spinal cord) and the peripheral nervous system (cranial and nerves).
What is intracranial regulation?
Blood, CSF and brain matter.
What are the contents of the cranial vault?
A late sign indicative of impending herniation consisting of HTN with widening pulse pressure, bradycardia, and changes in respiratory pattern.
What is Cushing Triad?
Two pieces of data to document when a patient has a seizure in the acute care setting.
What is seizure start and end time?
This activity, sometimes induced by suctioning, can increase ICP.
What is coughing?
Facilitates normal brain function.
What is intracranial regulation?
This unique characteristic of the infant skull.
What are the unfused sutures?
Subtle signs of IICP in pediatrics, especially infants.
What are irritability, poor feeding, and vomiting?
These interventions may be needed after a seizure in the acute care setting.
What are oxygen and suctioning?
Prevention of this can decrease straining and subsequent IICP.
What is constipation?