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1、p35-40w4326/6/0914:05Page35Ifyouwouldliketocontributetotheartandsciencesectioncontact:GwenClarke,artandscienceeditor,NursingStandard,TheHeights,59-65LowlandsRoad,Harrow-on-the-Hill,MiddlesexHA13AW.email:gwen.clarke@rcnpublishing.co.ukRaisedintracranialpressure:nursingobs
2、ervationsandinterventionsSuadoniMT(2009)Raisedintracranialpressure:nursingobservationsandinterventions.NursingStandard.23,43,35-40.Dateofacceptance:May182009.SummaryPathophysiologyofintracranialpressureHeadinjuryisacommonoccurrencethatoftenleadstoraisedComplianceTheskull
3、isarigidcontainerintracranialpressure(ICP).Whilethebestcareforpatientswithheadenclosingdifferentproportionsofthreeinjurymightbeinspecialistneuroscienceunits,limitedplacesmeanincompressiblevolumes:braintissue(80%),thatnursesworkingoutsidetheseunitsmightalsoencounterblood(
4、10%)andcerebrospinalfluid(CSF)patientswithraisedICP.Thisarticledescribesthepathophysiologyof(10%)(Allan2006).ICPisdefinedasthesumraisedICPinrelationtovitalobservationsandnursinginterventions.ofthepressuresthatthesethreevolumesexertAuthorintheskull(Allan2006).Inhealthyadu
5、lts,ICPismaintainednearlyconstantbetween0mmHgMarcoTullioSuadoniisstaffnurse,HaematologyandOncologyUnit,and15mmHg(Woodrow2006).AmechanismWhittingtonHospitalNHSTrust,London.knownascompliance,orthemodifiedEmail:marco_tullio.suadoni@whittington.nhs.ukMonro-Kelliehypothesis,c
6、ompensatesforsmallKeywordsandbriefincreasesofbloodvolume,CSFandbraintissue(Mokri2001).ThroughthisHeadinjuries;Intensivecare;Intracranialpressure;mechanism,whenthecontentoftheskullVitalobservationsincreases,thebodyrespondsbypushingbloodThesekeywordsarebasedonthesubjecthea
7、dingsfromtheBritishintothevenoussinusesinthebrain,increasingNursingIndex.Thisarticlehasbeensubjecttodouble-blindreview.theCSFreabsorptionrateormovingCSFintoForauthorandresearcharticleguidelinesvisittheNursingStandardthespinalcolumn(Josephson2004).homepageatnursingstandar
8、d.rcnpublishing.co.uk.ForrelatedTherefore,inthenormalrange,ICPremainsarticlesvisitouronlinearchiveandse
