3 Increased Intracranial Pressure Free Online FlashCards

What sustained adult ICP level is generally treated as elevated?

In adults, sustained ICP above $22\,\mathrm{mm\,Hg}$ is generally treated as elevated; interpret the reading alongside the examination and clinical context.

What may new restlessness or confusion signal?

New restlessness, confusion, or reduced alertness can be an early sign of neurological deterioration. Compare the change with the patient's baseline and report significant changes promptly.

What can a falling GCS score indicate?

A falling Glasgow Coma Scale (GCS) score can indicate worsening intracranial hypertension or impending herniation.

What new pupil changes are concerning with suspected rising ICP?

New pupil asymmetry or reduced pupil reactivity can signal worsening intracranial hypertension or impending herniation.

What may new extensor posturing indicate?

Extensor posturing is a concerning sign of worsening intracranial hypertension or possible herniation.

What is Cushing's response, and when may it appear?

Cushing's response consists of hypertension, bradycardia, and irregular respirations. It can signal worsening intracranial hypertension and is often a late finding.

How should suspected herniation be treated if no ICP reading is available?

Activate an emergency response and notify the appropriate clinical team. Suspected herniation requires urgent action even before an ICP monitor reading is available.

What immediate physiologic priorities guide the response to acute neurological decline?

Rapidly assess and support airway, breathing, and circulation.

Which findings should be included in a repeated neurological examination?

Rapidly repeat and document the neurological examination, including GCS, pupils, and motor response.

Which physiologic problems should be prevented during suspected acute ICP worsening?

Support oxygenation and circulation while preventing hypoxia and hypotension.

What positioning may support venous drainage in suspected increased ICP?

When appropriate and not contraindicated, elevate the head and keep it midline to support venous drainage.

What should be done for sustained adult ICP of $25\,\mathrm{mm\,Hg}$?

A sustained ICP of $25\,\mathrm{mm\,Hg}$ exceeds the commonly used adult treatment threshold. Escalate care and follow the prescribed ICP-management protocol.