Interventions for Patients with Increasing Intracranial Pressure 🧠
By Amber Gochoel, @sparklyscrubs
Find her on Instagram for more tips + accompany her on her journey starting nursing residency and becoming a NICU nurse.
This is a topic area we are currently being tested on, so I thought it would be fun to review together!
These patients’ futures hinge on us identifying signs of ICP and implementing our nursing interventions.
Early signs: lethargy, restlessness, LOC changes
Later signs: vomiting, headaches, seizures, positive Babinski reflex, irregular breathing such as Cheyne-stokes, bradycardia, hypertension, increasing distance between systolic and diastolic numbers
Interventions to implement:
HOB up to 30 degrees
Look for CSF drainage from the nose or ears
Avoid clustering care, instead, give plenty of time for rest
Frequent neuro assessments
Dim lights and have the patient avoid screen time (tv, iPad, phone)
Avoid mentally strenuous activities like reading difficult books, solving puzzles, etc
Maintain a normal body temperature as both fever and shivering can affect ICP
Utilize the Glasgow coma scale
Have the patient avoid straining activities like sneezing, coughing, vomiting, and bearing down
A version of this blog first appeared on Amber's Instagram, @sparklyscrubs. It is reproduced here with the permission of the author. Information was sourced from Focus on Adult Health Med Surgical Nursing by Linda Honan.