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Critical Care Situations in Neurological Nursing Increased Intracranial Pressure Delirium CVA
Increased Intracranial Pressure: Skull as a “closed box” ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal ICP is 5-15 mmHg in pt. With HOB at 30 degrees. ,[object Object],[object Object]
Cerebral Perfusion Pressure: CPP ,[object Object],[object Object],[object Object]
What are the factors that raise the ICP? ,[object Object],[object Object],[object Object],[object Object]
More factors that influence ICP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms of Increased ICP ,[object Object],[object Object],[object Object]
More Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object]
Brief overview of treatment of Increased ICP ,[object Object],[object Object],[object Object],[object Object]
Increased ICP Care, continued ,[object Object],[object Object],[object Object],[object Object]
Even More ICP care ,[object Object],[object Object],[object Object],[object Object],[object Object]
CVA: Epidemiology ,[object Object],[object Object],[object Object],[object Object]
More Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Risk Factors for CVA~Mostly Modifiable ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebrovascular Disease that Predisposes to Stroke ,[object Object],[object Object],[object Object]
CVA Symptoms ,[object Object],[object Object]
Mini NIHSS ,[object Object],[object Object],[object Object]
Pathophysiology of Stroke ,[object Object],[object Object],[object Object]
Ischemic Stroke (about 85%): Thrombus and Embolus (pictures) ,[object Object],[object Object]
Hemorrhagic Stroke: about 15% ,[object Object],[object Object],[object Object]
Parts of the Brain and Deficits in CVA (oversimplified) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Few More  ,[object Object],[object Object],[object Object],[object Object]
Diagnosis in Stroke: Essential to be correct~treatment differs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Guidelines for Emergency Stroke Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Most Common Nursing Diagnoses (not all) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thrombotic or Embolic Stroke ,[object Object],[object Object],[object Object],[object Object]
Other Medications: ASA, heparin, anticonvulsants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Care Issues in Acute Treatment  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemorrhagic Stroke Care ,[object Object],[object Object],[object Object],[object Object]
Nursing Care ,[object Object],[object Object],[object Object]
Aneurysm precautions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention Issues ,[object Object],[object Object]
Tertiary Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delirium: Basic Characteristics ,[object Object],[object Object],[object Object]
Delirium: Assessment concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Intervention: Delirium ,[object Object],[object Object],[object Object],[object Object]
Communication with Confused Person ,[object Object],[object Object],[object Object],[object Object]
Reality Orientation with Confused Person ,[object Object],[object Object],[object Object],[object Object],[object Object]

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