and Neurological Disorders Ultimate General Exam
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What is the normal range for ICP?
0-15 mm Hg
What are the compensatory mechanisms for IICP?
Displacement of CSF, venous compression, arterial vasoconstriction.
Is an ICP of 27 mm Hg normal, high, or low?
High
Why does herniation occur?
Displacement of brain tissue to a different compartment.
What causes fixed dilated pupils?
Brain injuries.
What clinical manifestations would the nurse expect if the patient's ICP is 27 mm
Hg?
Cerebral hypoxia, decreasing LOC, vomiting, widened pulse pressure, bradycardia,
pupillary changes, and altered breathing patterns.
What causes the clinical manifestations of IICP?
Increased brain tissue, CSF, or blood in the skull.
What is the earliest indicator of IICP?
Changes in level of consciousness.
How does a focal brain injury differ from a diffuse brain injury?
Focal brain injury is localized to one area, while diffuse brain injury spreads across
multiple areas.
Is a contusion a focal or diffuse brain injury?
Focal.
What is the usual source of bleeding for an epidural hematoma?
Meningeal artery.
What clinical manifestations are expected with an epidural hematoma?