Wednesday, November 29, 2006

ICP positioning

What is the proper way to position the pt to reduce the ICP?
To promote the venous drainage…head neutral..cervical collar, keep the head of the bed up.
Compression of the jugular vein increases the ICP so…avoid rotation and flexion.
Avoid hip flexion to avoid…intrabdominal pressure which raises the intrathoracic pressure which increases the ICP.
Use turning sheets and pt should exhale when turning..
Colace and NO enemas
Space the care…ICP should not rise above 25mmHg and should return to baseline in 5 min.
NO isometric muscle contractions because this will raise the systemic BP and again therefore raise the ICP


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