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Initial symptoms of increased ICP include restlessness, irritability, and decreased level of consciousness, because cerebral cortex function is impaired. If not intubated, the patient may hyperventilate, causing vasoconstriction as the body attempts to compensate. As the pressure increases, the oculomotor nerve may be compressed on the side of the impairment. C. Compression of the outermost fibers of the oculomotor nerve results in diminished reactivity and dilation of the pupil. As the fibers become increasingly compressed, the pupil stops reacting to light. If the compression continues, and the brain tissue exerts pressure on the opposite side of the brain from the injury, both pupils become fixed and dilated. B. Hypothermia is not a sign of IICP. A. Vital sign changes are a late indication of increasing ICP. What should the nurse do first when a client with a head injury?The first priority in any emergency is always an adequate airway. The nurse is involved in clearing the mouth, inserting an oral airway, assisting with intubation, oxygen therapy and assessing continually the patient's respiratory system.
What should you do after a closed head injury?Treatment for closed head injury. Brain rest with minimal brain stimulation.. Medications to prevent seizure.. Medications to help with the headaches.. Physical and occupational therapy to assist with walking and balance.. Which intervention helps to manage increased intracranial pressure ICP in a patient who has sustained a traumatic brain injury TBI )?For patients with persistently elevated ICP, osmotic therapy may be used to expand blood volume by shifting fluid from the brain's extracellular to intravascular spaces. Osmotics also reduce blood viscosity, which raises CPP and lowers ICP.
Which method is used to help reduce intracranial pressure?Cerebrospinal fluid drainage
CSF drainage lowers ICP immediately by reducing intracranial volume and more long-term by allowing edema fluid to drain into the ventricular system. Drainage of even a small volume of CSF can lower ICP significantly, especially when intracranial compliance is reduced by injury.
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Which intervention would the nurse perform first for the client admitted with a closed head injury and increased intracranial pressure ICP )?
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