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1、IncreasedIntracranialPressureManagementManagementofIncreasedIntracranialPressureAPrimerfortheNon-neuroCriticalCareNurseLindaJosephson,RN,BSN,CCRNBrainedemaandtheresultingincreaseinintracranialpressuremaybetheresultofseveralconditions:headtrauma,intracranialhemorrhage,embolicstro
2、ke,infec-tions,tumors,andalterationsincerebralspinalfluidproductionorabsorption.Attimes,thesepatientsmaybetreatedoutsideoftheneuroiogicalintensivecareunit(ICU)foravarietyofreasons.Therefore,generaicriticaicarenursesmayfindthem-selvesinthepositionofcaringforthesepatients.Maintain
3、ingexpertiseoutsideofonesareaoffocusisincreasinglydifficulttodo,andthenon-neurocriticalcarenursemaybeunfamiliarwithsomeofthenewerresearchfindingsandtrendsintreatingthesepatients.Thepurposeofthisarticleistoreviewseveralofthecon-ceptsofneurologicalcareandtoupdatecriticalcarenurses
4、invariousnewerapproachestocaringforpatientswithincreasedintracranialpressure.Keywords:Cerebralspinalfluid,intracranialpressure,Intensivecareunit.CRITCARENURS,2OO4;23(5):194-207]Brainedemaandtheresultingincreaseinintracranialmoredevastatingthentheoriginalinjury.'Controllingpressu
5、re(ICP)mayresultfrommanyconditionsinclud-thedamagedonebytbesesecondarymechanismsistheingheadtrauma,intracranialhemorrhage,embolicprimaryfocusofmuchofthemedicalandnursingcarestroke,infections,tumors,andalterationsincerebralofpatientswithbraininjuries.'*IncreasedICPcanspinalfluid(
6、CSF)production/absorption.'-Oncetheoccurwithanumberofconditions,andattimes,suchinitialinsulttothebrainoccurs,thedamageitcausespatientsmaybetreatedoutsideoftheneurologicinten-cannotbeprevented;however,thatisnotnecessarilythesivecareunit(ICU).Thepurposeofthisarticleistoendofthedam
7、agedone.Becauseoftheinitialinsult,areviewseveraloftheconceptsofneurologiccareandtocascadeofcellularchangesoccurs.Thesechanges,updatecriticalcarenursesinavarietyofthenewerknownassecondarybraininjury,canleadtofurtherapproachestocaringforpatientswithincreasedICP.damage.Theinitialin
8、sultcauseschangesintheregula-tionofbloodflowtot
