Page | 38
Week 3: Intracranial Regulation
Weekly Reading: Giddens: Ch. 13; Linton & Matteson: Pgs. 360-362; 364-366, 370-
377, 398-404, Ch. 23; Silvestri: Pgs. 823-832; 855; Willihnganz/Clayton: Pgs. 427-429;
432-433; 434-435
Lecture 1 - Exam 1
Lecture 2
Define: (Giddens chapter 13)
Define the concept of intracranial regulation.
norm
oL s alnormol ProcesseS of intracranipl wegulaion
Categories that describe impairment or dysfunction: (Giddens p 116)
Perfusion:
Forthe brouivL to function there must be a consistent supply of bloo d
delivering_OXYQgen and_Nutvients
What are the three things that can lead to significant dysfunction?
1 Internel lolockase of vessel
2. severe hypotensioh.
3. LosS of yessel uteohy
List some conditions that can affect perfusion:
iy oeor dniol hemorthage coused oy Tl
Neurotransmission: _
Normal transmission requires fully functioning __1€UAN OIS . nerws ,and
newotran srutters
List some examples of things that can disrupt neurotransmission.
oe qmcm:fivc, oLise aseS
Glucose Regulation: '
The brain_ 0 aNNO store glucose, a constant supply is needed to maintain optimal functioning.
Prolonged hypoglycemia can cause JA)'LdL.‘.)pV e acl neur oval un.éu,w'i
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Pathology:
Pathology of the brain can take on many forms, _{OF antvhnors | degenerative diseases, and
Inflanwaton ‘L conditions.
Alzheimer’s disease isa__ OLLOEYVIEN Bh 6-C process that results in the loss of ALy ol
primarily in the %[Q,g Moty of the brain,
The most common inflammatory conditions of the brain are abscesses, men (V\%l)’hfi , and
encephobihg
An lfl‘FL&Mmflfl‘C"\J\ AL SPAVEafiesult in disrupted cerebral function and regulation.
**Review consequences of impaired intracranial regulation — Giddens p 116 - 117
Assessing systematically and comprehensively (Giddens p. 117-119, Linton & Matteson 364-
366; Box 21.2)
Review Linton & Matteson Box 21.2 — assessment of the patient with neurologic disorder
Physical Examination (data collection): PN are most often called upon to engage in data collection
related to mental status (and changes), Glasgow Coma Scale, and looking for clinical signs of increased
intracranial pressure (IICP).
History (Subjective data)
e Changes in mental or motor function are the most common findings but will vary.
o List some data that may show potential intracranial regulation (ICR) problems:
0or[chyof pt 7o provide weorpnachok
Examination findings (Objective data)
o Mental Status: Assessment of the patient’s emotional response, mood, &MM_,
and personality.
e Glasgow coma scale (Table 13.2)
o A quick, practical, and standardized system of assessing the degree of
0oNS cuSine8C inthe critically ill patients with head injuries.
o What three components does the Glasgow Coma Scale measure?
» ML opvu ny ’
s Veévbal aLsSpontt
MOt pesponge-
© Hondros College of Nursing — WINTER 2025
i Scanned with
/& CamScanner’;
Week 3: Intracranial Regulation
Weekly Reading: Giddens: Ch. 13; Linton & Matteson: Pgs. 360-362; 364-366, 370-
377, 398-404, Ch. 23; Silvestri: Pgs. 823-832; 855; Willihnganz/Clayton: Pgs. 427-429;
432-433; 434-435
Lecture 1 - Exam 1
Lecture 2
Define: (Giddens chapter 13)
Define the concept of intracranial regulation.
norm
oL s alnormol ProcesseS of intracranipl wegulaion
Categories that describe impairment or dysfunction: (Giddens p 116)
Perfusion:
Forthe brouivL to function there must be a consistent supply of bloo d
delivering_OXYQgen and_Nutvients
What are the three things that can lead to significant dysfunction?
1 Internel lolockase of vessel
2. severe hypotensioh.
3. LosS of yessel uteohy
List some conditions that can affect perfusion:
iy oeor dniol hemorthage coused oy Tl
Neurotransmission: _
Normal transmission requires fully functioning __1€UAN OIS . nerws ,and
newotran srutters
List some examples of things that can disrupt neurotransmission.
oe qmcm:fivc, oLise aseS
Glucose Regulation: '
The brain_ 0 aNNO store glucose, a constant supply is needed to maintain optimal functioning.
Prolonged hypoglycemia can cause JA)'LdL.‘.)pV e acl neur oval un.éu,w'i
© Hondros College of Nursing — WINTER 2025
i Scanned with !
& CamScanner’;
, Page |39
Pathology:
Pathology of the brain can take on many forms, _{OF antvhnors | degenerative diseases, and
Inflanwaton ‘L conditions.
Alzheimer’s disease isa__ OLLOEYVIEN Bh 6-C process that results in the loss of ALy ol
primarily in the %[Q,g Moty of the brain,
The most common inflammatory conditions of the brain are abscesses, men (V\%l)’hfi , and
encephobihg
An lfl‘FL&Mmflfl‘C"\J\ AL SPAVEafiesult in disrupted cerebral function and regulation.
**Review consequences of impaired intracranial regulation — Giddens p 116 - 117
Assessing systematically and comprehensively (Giddens p. 117-119, Linton & Matteson 364-
366; Box 21.2)
Review Linton & Matteson Box 21.2 — assessment of the patient with neurologic disorder
Physical Examination (data collection): PN are most often called upon to engage in data collection
related to mental status (and changes), Glasgow Coma Scale, and looking for clinical signs of increased
intracranial pressure (IICP).
History (Subjective data)
e Changes in mental or motor function are the most common findings but will vary.
o List some data that may show potential intracranial regulation (ICR) problems:
0or[chyof pt 7o provide weorpnachok
Examination findings (Objective data)
o Mental Status: Assessment of the patient’s emotional response, mood, &MM_,
and personality.
e Glasgow coma scale (Table 13.2)
o A quick, practical, and standardized system of assessing the degree of
0oNS cuSine8C inthe critically ill patients with head injuries.
o What three components does the Glasgow Coma Scale measure?
» ML opvu ny ’
s Veévbal aLsSpontt
MOt pesponge-
© Hondros College of Nursing — WINTER 2025
i Scanned with
/& CamScanner’;
