Chapter 2: Examine for Increased Intracranial Pressure Secondary to Cerebral Edema and Brain Herniat

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Author:
dmshaw9
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297905
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Chapter 2: Examine for Increased Intracranial Pressure Secondary to Cerebral Edema and Brain Herniat
Updated:
2015-03-08 19:44:23
Tags:
Increased Intracranial Pressure Exam
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NPTE,Chapter2
Description:
NPTE: Chapter 2
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  1. Increased Intracranial Pressure Exam
    • Altered level of consciousness 
    • Altered vital signs
    • Headache 
    • Vomiting
    • Pupillary changes (CN III signs)
    • Papilledema at entrance to eye 
    • Progressive impairment of motor function
    • Seizure activity
  2. Altered Level of Consciousness
    Progresses from restlessness and confusion to decreasing level of consciousness, unresponsiveness, and coma
  3. Altered Vital Signs
    • Examine for:
    • Increased BP
    • Widening pulse pressure and slowing of pulse
    • Irregular respirations including periods of apnea
    • Cheyne-Stokes respirations
    • Elevated temperature
  4. Vomiting
    Secondary to irritation of vagal nuclei, CN X
  5. Pupillary Changes
    • CN III signs 
    • Examine for:
    • Ipsilateral dilation of pupil (unequal pupils)
    • Slowed reaction to light progressing to fixed
    • Dilated pupils (a poor prognostic sign)
  6. Progressive Impairment of Motor Function
    • Examine for:
    • Weakness
    • Hemiplegia
    • Positive Babinski response 
    • Decorticate or decerebrate rigidity

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