13 Questions
What is the normal range for intra-cranial pressure (ICP)?
5 - 15 mm Hg
According to Monro-Kellie hypothesis, what happens when there is an increase in one of the components of the skull (brain tissue, blood, CSF)?
It causes a shift in the volume of the other components
What are the late signs of increased intra-cranial pressure (ICP) leading to cerebral herniation?
Irregular respiratory pattern and Cushing’s triad
What is a characteristic symptom of Decorticate Posturing?
Abnormal flexor movement of upper extremities
What does increased intra-cranial pressure (ICP) decrease, leading to ischemia and cell death?
Cerebral perfusion
According to the Monro-Kellie hypothesis, how is a normal ICP of 5 to 15 mm Hg maintained with an increase in one of the components of the skull?
By displacing or shifting cerebrospinal fluid (CSF)
What is the early manifestation of increased intracranial pressure (ICP) related to changes in level of consciousness (LOC)?
Restlessness and purposeless movements
What late manifestations are associated with increased ICP?
Hemiplegia, decortication, or decerebration
Which assessment tool is used to evaluate mental status and LOC in a patient with increased ICP?
Glasgow Coma Scale (GCS)
What is a potential complication associated with increased ICP?
Neurogenic Diabetes insipidus
What is a major goal in the management of increased ICP?
Maintenance of patent airway
Which nursing intervention is recommended for a patient with increased ICP to promote venous drainage?
Position with head in neutral position and elevation of HOB 45 - 60 degrees
What should be monitored frequently in a patient with increased ICP to maintain fluid balance?
Fluid status carefully; every hour I&O during acute phase
Test your knowledge of coordinating care for critically ill patients with neurological dysfunction, focusing on concepts like increased intra-cranial pressure (ICP) and the Monro–Kellie hypothesis. Presented by Jimmy Truong, MSN, ARNP/FNP-c, the quiz covers important details for managing patients with neurological issues.
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