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, HEALTHSTREAM ICU knowledge
Intracranial hemorrhage's goal for treatment? - ANSWER Stop bleeding.
Decrease icp.
Subdural hematoma? - ANSWER bleeding between covering of brain (dura)
and surface of brain. Compress brain tissue , leadin to brain dead. Most pt do
not recover.
Epidural hematoma? - ANSWER covering of the brain (dura) peel away from
skull (from skull fracture). Wake up and die. Changes in vital signs are late
signs.
SubArachnoid hemorrhage (SAH)? - ANSWER aneurysm of artery in brain,
causing rupture. This is a type of hemorhagic stroke. Risk for repeated
bleeding is 35% within. First 14 days post first bleed. Vasospasm is a common
complication of SAH. Cerebral angiogram can dx cerebral aneurysm. A
ruptured aneurysm has a risk for death of 40% , 08% disable after rupture.
Normal ICP for adult? - ANSWER less than 15mmHg. When treating high
ICP, the goal is to be 20 mmHg ICP.
What is cushing's triad? - ANSWER three symptoms that indicate brian
damage from high ICP. BRADYCARDIA, RESP DEPRESSION,
HYPERTENSION.
What factors increase ICP? - ANSWER suction, any stimulations.
Glascow score of 5 indicate? - ANSWER