AT&T; LTE 3:23 PM Neurological Disorders Case Study... 3 of 3 9. The physician o

Question

AT&T; LTE 3:23 PM Neurological Disorders Case Study... 3 of 3 9. The physician orders a 25% mann ol solution v. what is mannitol and why is t being used on this cient? CAs? STUDY PROGRESS JR. is transported to radiology for a CT, where he is found to have a large epidural hematoma on the right with a hemispheric shift to the left. He will be taken straight to the operating room (OR) for evacuation of the hematoma. Whle en route from the CT scan to the OR, the physician instructs the respiratory therapist to initiate hyperventilation of the patient to "blow off more CO2 10. After J.R's surgery he is admitted to the ICU. List four medication dlassfications that the CU nurse could use to decrease or control increased ICP? 11. Explain at least eight inberventions that can be used to prevent ICP in the first 48 hours postoperatively Open with Print

Explanation / Answer

Epidural hematoma is an accumulation of blood between the skull and the dura membrane of brain. In most of the cases, it will be removed by doing craniotomy to reduce the presseure on brain.

9. As physician ordered 25 % mannitol to this client, let us see why it is prescibed for this clent. mannitol is an osmotic diuretic,it reduces the blood viscosity while cerebral blood flow remains same but cerebral blood volume and intra cranial pressure will be reduced.It reduces the cerebral cell water and eventually reduces ICP.so the cerebral edema will be reduced. mannitol even increses urine production and helps in removing toxic substances from the body and prevents shutting down of kidneys. it takes 20-30 min to show the effect.

10.medications to reduce or control ICP

osmotic diuretics like mannitol

Antihypertensives

carbonic anhydrase inhibitors (ex.Acetazolamide)

Loop diuretics (Ex. furosemide)

Cardiac glycosides

3% sodium chloride

11. interventions to reduce ICP in the first 48 hours postoperative period

1.Stabilize the patient if the patient is unstable

2.Maintain intracranial pressue. prevent intracranial hypertension.Administer the prescribed medications like mannitol to reduce ICP.

3.Maintain adequate cerebral perfusion , monital Cerebral Perfusion pressure(CPP).

4.Monitor hemodynamics closely. Neuromonitoring too

5.monitor intake /output closely.Strict I/O monitoring is required

6.Seizure management : Adminster antiepileptics as prescribed by the doctor .

7.Position of the patient is very important. Elevate the head of the bed to 15 to 30 degrees and the head should be positioned midline to encourage jugular venous drainage

8. The patients should be adequately sedated and analgesics should be administered to prevent pain and anxiety which will increse cerebral metabolism and ICP.

9.Fluids , electrolytes and nutrition to be taken care.

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.