Intracranial Pressure Management

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Questions and Answers

What effect does pressure on the frontal lobes or deep midline structures have on respiratory patterns?

  • It causes hyperventilation.
  • It leads to Cheyne-Stokes respirations. (correct)
  • It results in irregular breathing that may eventually cease.
  • It induces apnea.

Why is coughing discouraged in patients with poor oxygenation?

  • It helps clear secretions from the lungs.
  • It prevents the development of Cheyne-Stokes respirations.
  • It improves venous drainage of the brain.
  • It can lead to an increase in intracranial pressure (ICP). (correct)

How does pressure in the midbrain affect respiration?

  • It results in irregular breathing that may eventually cease.
  • It leads to Cheyne-Stokes respirations.
  • It induces apnea.
  • It causes hyperventilation. (correct)

How is PaCO2 usually maintained in patients undergoing hyperventilation therapy?

<p>Less than 30 mm Hg (B)</p> Signup and view all the answers

What is a controversial therapy in traumatic brain injury used to reduce intracranial pressure (ICP)?

<p>Hyperventilation therapy (A)</p> Signup and view all the answers

What effect does hyperventilation therapy have on cerebral blood volume?

<p>Decreases cerebral blood volume (B)</p> Signup and view all the answers

Why are the lung fields auscultated every 8 hours in patients?

<p>To determine the presence of adventitious sounds or areas of congestion (A)</p> Signup and view all the answers

How does elevating the head of the bed help in patients with brain injury?

<p>Aids in clearing secretions and improves venous drainage of the brain (B)</p> Signup and view all the answers

What happens when the lower portion of the brainstem is involved in a patient's condition?

<p>Respirations become irregular and eventually cease. (A)</p> Signup and view all the answers

What type of monitoring is beneficial for patients on hyperventilation therapy?

<p>Multimodality monitoring to assess overall impact on brain perfusion. (A)</p> Signup and view all the answers

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