Increased Intracranial Pressure Management
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Questions and Answers

What is the purpose of using osmotic diuretics in the treatment of brain injuries?

  • To induce systemic vasodilation
  • To decrease intracranial pressure (correct)
  • To manage fever
  • To increase cerebral blood volume
  • Why are sedation and paralytic agents used in the treatment of brain injuries?

  • To decrease metabolism and oxygen consumption (correct)
  • To increase oxygen consumption
  • To manage fever
  • To induce systemic vasodilation
  • In the context of brain injuries, what is the mechanism of action of hypertonic saline (HTS) boluses?

  • Supporting circulation by drawing excess water from brain tissue (correct)
  • Reducing cerebral blood volume
  • Increasing ICP
  • Decreasing serum osmolarity
  • Why is hyperventilation used as an intervention in brain injuries?

    <p>To decrease intracranial pressure by reducing cerebral blood volume</p> Signup and view all the answers

    Based on the information provided, what is the purpose of a decompressive craniectomy in the context of brain injuries?

    <p>To reduce cerebral blood volume</p> Signup and view all the answers

    Which of the following is the gold standard method for intracranial pressure (ICP) monitoring?

    <p>Intraventricular catheter</p> Signup and view all the answers

    Which of the following interventions is recommended for the treatment of increased intracranial pressure (ICP)?

    <p>All of the above</p> Signup and view all the answers

    In the context of brain herniation, which of the following types of herniation involves the cerebellar tonsils herniating through the foramen magnum, potentially compressing the brainstem and spinal cord?

    <p>Tonsillar herniation</p> Signup and view all the answers

    Which of the following clinical signs or symptoms is most specific for brain herniation?

    <p>Loss of brainstem reflexes (e.g., pupillary reflex, gag reflex)</p> Signup and view all the answers

    Which of the following diagnostic imaging modalities is most appropriate for the initial evaluation of a patient with suspected increased intracranial pressure or brain herniation?

    <p>Computed tomography (CT) scan of the head</p> Signup and view all the answers

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