A client is admitted to the Emergency Department after a three-car accident. He's exhibiting early signs of increased intracranial pressure. Which of the following groups of symptoms is the nurse most likely to observe?A. Decreasing pulse, increasing respiratory rate, and decreasing blood pressure.
B. Decreasing pulse, decreasing respiratory rate, and increasing systolic pressure.
C. Increasing pulse, decreasing respiratory rate, and increasing pulse pressure.
D. Decreasing pulse, increasing respiratory rate, and increasing pulse pressure.
- In the early stages of increased intracranial pressure, the client's heart and respiratory rates slow down. The result is an increase in systolic pressure with further decrease in heart rate and respiratory rate, and a widening pulse pressure. With head trauma, there may be significant swelling that decreases perfusion, causing hypoxia and hypercapnia, triggering increased blood flow. The increase volume when injury has impaired auto-regulation increases the edema, which in turn increases intracranial pressure, causing further ischemia. If the intracranial pressure is not controlled, the brain may herniate..