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1. What imaging study is ordered immediately in cases of head trauma, and why?
CT scan — to determine if there is bleeding (hemorrhage) in the brain.
2. What should be avoided in patients with head trauma or subarachnoid
hemorrhage?
Blood thinners should not be administered.
3. To what degree should the head of the bed be elevated in cases of
subarachnoid hemorrhage?
30 degrees
4. What are the symptoms of increased intracranial pressure (IICP)?
Difficulty regulating body temperature, irregular respirations, and increased
systolic blood pressure.
5. What are the late signs of increased intracranial pressure (IICP)?
Increasing systolic BP, bradycardia (low heart rate), and irregular respirations.
6. What environmental adjustments should be made for a patient with increased
intracranial pressure?
Decrease stimulation and provide a quiet, private room.
7. What should be avoided after a craniotomy to prevent complications, and why?
Avoid constipation — straining can increase intracranial pressure.
,8. What is one non-pharmacologic method used to decrease intracranial
pressure?
Hyperventilation
9. What class of medication therapy may be used to manage increased intracranial
pressure?
Diuretics or other agents to reduce fluid volume.
10. Why is bowel management important in patients with increased intracranial
pressure?
To prevent constipation, which can raise ICP through straining.
11. Increased volume within the cranial canal — usually resulting from TBI, tumor,
hydrocephalus, cerebral edema, or hemorrhage — describes what condition?
Increased intracranial pressure (IICP)
12. What is the term for the act of removal of materials from the body?
Elimination
13. Which medication is an osmotic diuretic used to treat increased intracranial
pressure, requiring monitoring for dehydration and electrolyte imbalance?
Mannitol
14. Which electrolyte abnormality is associated with Kayexalate therapy?
Decreased potassium levels
15. Which medication, Glatiramer acetate (Copaxone), is used to treat what
condition?
Multiple sclerosis
16. Which medication, Finasteride (Proscar), is used to treat BPH but must be
avoided by which population?
Pregnant women should avoid it.
17. Which medication increases RBCs and helps manage anemia?
Erythropoietin
, 18. Which medication, Calcium carbonate, is used to treat what condition?
Hypocalcemia
19. Which anticonvulsant, Dilantin (phenytoin), requires what type of ongoing
monitoring?
Blood levels need to be checked.
20. Which medication, Flomax (tamsulosin), relaxes smooth muscle to improve
what function?
Urine flow
21. Name four medications used for anti-seizure management.
Keppra, Dilantin, Depakene, Ativan
What is the recommended position for a patient with subarachnoid hemorrhage?
Elevate the head of the bed 30 degrees
What is a symptom of increased intracranial pressure related to body
temperature?
Difficulty regulating body temperature
What respiratory pattern can be irregular due to increased intracranial pressure?
Irregular respirations
What happens to systolic blood pressure with increased intracranial pressure?
Increased systolic blood pressure
What should be avoided to prevent increased intracranial pressure after a
craniotomy?
Constipation and straining , Straining can increase IP
What type of environment should be provided for a patient with increased
intracranial pressure?
A quiet, private room , Decrease stimulation