INTRA CREANIAL PRESSURE // ICP /ETIOLOGY / ASSESMENT FINDING /DIAGNOSIS/ MANEGMENT / AND NURSING MANAGMENT ~ Medical diseases and trems ,symptoms causes TREATMENT

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INTRA CREANIAL PRESSURE // ICP /ETIOLOGY / ASSESMENT FINDING /DIAGNOSIS/ MANEGMENT / AND NURSING MANAGMENT



 DEFINATION 

    INCREASE ICP 

          Normal ICP 5-15 mmhg.

          If the ICP  is more then 15 mmhg it indicate increase ICP.

ETIOLOGY 

      -Tumor .

      - trauma [ hematoma formation ] .

      - Hydrocephalus 

      - Meningitis .

      - Encephalitis .

      - Hyponatremia [it will cause cerebral edema]

ASSESMENT FINDING  

 *   The earliest symptom is altered level of consciousness .

 *   Headache .

projectile vomiting 

change in the vital sign 

     - hyperthermia 

     - cushing triad   - systolic BP increase , bradycardia , impaired respiration increase .

Late sign  -Seizure ,ataxia 

DIAGNOSIS 

  Physical examination 

  ventriculostomy 

MANAGMENT 

   MADICAL MANAGMENT 

          INJ. Mannitol and Acetazolamide . 

    * the diuretic therapy is provided to decrease the ICP.

SURGICAL MANAGMENT 

   The craniotomy is performed .

   * The opening of the craniotomy is called Burrholle .

   * Tumor remove can be done .

   * VP shunting procedure can be done.

NURSING MANAGMENT 

    * Provide semi fowler's position .

    * The head should be neutral position .

    * Hyperventilation the pt to decrease the PCO2 level in the blood .

    * the excessive PCO2 will cause cerebral vessels dilation and it causes increase blood accumulation in the brain so it cause increase ICP.

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