Increased Intracranial Pressure Nursing Pathophysiology NCLEX Symptoms (Cerebral Perfusion Pressure)
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- čas přidán 13. 01. 2018
- Increased intracranial pressure (ICP) nursing, pathophysiology, NCLEX, treatment, and symptoms NCLEX review.
Increased intracranial pressure occurs when the inside of the skull experiences increased pressure. This is a medical emergency!
How is ICP created? Intracranial pressure is the pressure created by the cerebrospinal fluid and brain tissue/blood within the skull. It can be measured in the lateral ventricles with an external ventricular drain (ventriculostomy).
What is a normal intracranial pressure (ICP)? 5-15 mmHg (greater than 20 mmHg…needs treatment)
Pathophysiology of increased intracranial pressure: The human skull is very hard and is limited on how much it can expand when something inside the skull experiences a change that leads to increased pressure exerted within the skull.
Inside the skull are three structures that can alter intracranial pressure: brain, cerebrospinal fluid (CSF), and blood.
The Monro-Kellie hypothesis deals with how ICP is affected by CSF, brain's blood, and tissue that works to maintain cerebral perfusion pressure (CPP). In a nutshell, this hypothesis says that when the volume of one of these structures increases than the others will have to decrease their volume to compensate for the increased intracranial pressure.
Intracranial pressure fluctuates and this depends on many factors like: the person’s body temperature, oxygenation status, especially CO2 and O2 levels, body position, arterial and venous pressure, anything that increases intra-abdominal or thoracic pressure (vomiting, bearing down).
Cerebral perfusion pressure is important when dealing with intracranial pressure. A normal CPP is 60-100 mmHg.
When CPP (pressure that pushes the blood to the brain) falls too low the brain is not perfused and brains tissue dies.
How is CPP calculated?
CPP= MAP - ICP (see video on how to calculate cerebral perfusion pressure)
Symptoms of increased intracranial pressure: mental status changes (EARLIEST), cushing's triad, vomiting, headache, decorticate or decerebrate posturing, optic and oculomotor nerve damage, abnormal doll's eye, seizures etc.
Nursing care for increased ICP includes monitoring and preventing further increases in intracranial pressure, administering drugs such as Mannitol, anticonvulsants, corticosteroids etc. See video for a mnemonic on the nursing interventions for increased ICP.
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Hello Everyone :) Thanks for watching! I hope this helps with your studies! Don't forget:
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RegisteredNurseRN I would just like to thank you! You deserve all the recognition because most of our professor cannot even teach this well. Everything you talk about literally sticks in my head and makes sense! God bless you and thank you!
You're heaven sent 😊😊😊 i can't thank you enough for your inputs and inspiration to so many nurses and aspiring ones 😍😍😍 wishing you all the best 😍😍😍
RegisteredNurseRN Nurse Sarah do you have a tutorial for Glascow Coma Scale Im Looking on your channel I do not see it. Thanks again for being AWESOME 🤗🤗🤗🤗
Hello :) This topic is on my list. Thank you for letting me know you would like to see it uploaded. Also, THANK YOU for watching the videos. I really appreciate all the comments you have left on the other videos as well :)
RegisteredNurseRN Nurse Sarah you are awesome especially with my school books not really elaborating or giving a full picture of whats going on... After all I wanna be a great Nurse for our patients, familys, co-workers and community just like you 😙😙😙😙😙
Nursing schools really do owe you a portion of most students' tuition. Thank you for these videos.
Sooooooo true!!! The professors owe her a piece of their salary because they couldn’t break it down like this lol
Yes. Indeed
@@renaemorgan6423 If it was discussed at all. Today , you are told to read chapters and then there is a discussion in class.
Most definitely
For sure, helps me more than the professor!!
I studied your videos all through school. Now, I’m an ICU nurse (graduated may 2020) and I’m caring for my first patient with increased ICP. The first thing I did was come watch this video. My patient has all the signs you covered, very late stage. Thank you!!! You’re helping me treat patients in real time.
I graduated with high scores because of you, I am now studying for my NCLEX, I am 53 yrs old and find you to be a BEAUTIFUL Instructor, which means you REALLY CARE .. Thank You.. You are making a different in many students life.
Hey...hows it going?!!
Did u passs your NCLEX?
You’re awesome Sarnell!
I'm pretty sure I'm gonna owe you some tuition when this is all over 😂
Seriously!!! Lol
I am on video 52 of 193 amongst your NCLEX review series and I just want to say how helpful these truely are. They are a great review after 4 years, offered with many wonderful features (video, in depth notes in the description and follow up quizzes). Thank you for your detication to improving the understanding of future nurses. It is people like you that give the future of healthcare a chance at succeeding when people are getting sicker and sicker. Thank you Sarah!
So much better than my nursing lectures/videos/powerpoints. I am always left so confused, then I find these videos and find the light. I wish you had videos for EVERYTHING! But I do thank you for what you do have.
2023 and these videos are still amazing,
God bless you Sarah!
Thank you for all that you do. You are a blessing to me and so many others. You've taught me so much, and helped me to understand what I'm learning. You are so wonderful at teaching that you can give us all the details without making the content complicated. After watching your videos my confidence goes sky high and I feel like I can reach out and teach others.
Thank you for sharing your knowledge with us. You have a beautiful soul because you don't have to do this. You have truly given me and countless others a wonderful gift.
Your gift will create so many wonderful knowledgeable nurses. Thank you! Thank you! Thank you!
My Hesi is coming up. Wish me luck! :)
I just wanted to say your videos helped me pass NCLEX. I took NCLEX on November 16th and passed on my first try!. I'm so excited to start my nursing career. I went to speak with the new class and told them about your videos and how you make it easy to understand the content. Thank you so much and I will continue to watch your videos!
I can not say enough how GREAT this lecture is. Thank you so so much!
Thank you for such descriptive and easy to understand videos! I’m 3 months from graduation day and I’ve used your videos along the entire way!
You are a freaking GEM for all Nursing students, Educators, and current Nurses. Period. Thank you for all you do!!!
I am 1000000% positive I would have failed out of my program already if it wasn't for you. Thank you for taking the time to put these reviews together and recording them.
I appreciate how thorough you are. Thank you!
I just want to thank you immensely for taking the time to make these videos. I have been struggling through nursing school, but I absolutely know I want to be a nurse. You are making it possible for me to get through school and follow my dreams! I really wish I found out about you earlier, but hey I thank GOD I found you now. Please know how much we appreciate you!
You are the most efficient nursing teacher on the planet. Thank you so much.
i've been learning ICP for two years in 3rd and 4th year, never really got it till this video LOL. thank you so much
Thank you so much for these wonderful videos! All my classes are online so they have helped me tremendously throughout this semester. I'm so glad I came across your website. You are definitely the well educated, knowledgeable nurse I want to be.
This was incredibly interesting and perfect flow to be able to understand it, thank you
Another OUTSTANDING lecture! Sarah is absolutely AMAZING and we greatly appreciate all that she does.
Hi Sarah. I'm from Sydney Australia. I'm studying to become a nurse. Your a great teacher. The way you teach should be a benchmark for nursing school. Thankyou.
thanks so much here in Uganda Africa passed my exams because of your videos I used to watch
Since we are in the midst of a pandemic, we are subjected to have our online learning class through zoom and google meet. As a student nurse, it is hard for me to strive in nursing school. I struggle right now in my medical surgical nursing which is the sole foundation of nurses in providing appropriate care to the patients. Thanks to your videos, I am now catching up with our daily lesson. Hoping to wear the RN title at the end of my name soon
This was an amazing lecture. Thank you so much for breaking this topic down for us. I love your videos!!
I have been a nurse for 10 years.
I STILL watch nurse Sarah every week and learn a TON.
Thank you so much for all your hard work. I graduated nursing school in August 2022 because of I watched all your vides and listen to them on youtube when I drove to school. May god bless you and your family.
Sarah u a good teacher and you can replace an organ and make it match the DNA. Well you teach how the brain works so make us learn the materials like you been doing and obtain As and graduate. This is what makes America great ok. Keep up the good work.
Thank you Sarah for your videos they are so awesome.Before i read my text book I first watch them and the book gets so easy to understand.You are literally my instructor.
Simply amazing!!! I listen to you while I drive
Nursing student here!
You are endowed with numerous gifts. Your lectures makes me to always salivate for studying. I really appreciate.
Thank you for these NCLEX videos they are very helpful. The GI videos were helpful for my exam I had! Now preparing for Neuro😊👍
I am on my capstone unit and i can understand you more than my uni lecture!! I love you. I owe you my knowledge
thank you for all your benefit lessons I really learn a lot from you dear, and also you give a better idea of what to expect. please keep posting God bless you.
Thank you Sarah,
your teaching style is great
You’re such a bright person! Love your videos! From Minnesota!
Hi Sarah. I'm a nurse new to ICU. Thank you. This video helps me take care of my EVD patient's much better and I understand the functions of ICP and why I'm doing what I'm doing...
Thank you nurse Sarah for these videos. I am not a nurse student but I have had open heart surgery sometime back and do have a fib. I always enjoy hearing you talk and it is very educational for me to learn about the heart and other things. Thank you Jeffrey
the best teacher for a nurse education you try to include everything thanx a lot. keep going
Thank you so much!!! I have an exam on Tuesday for nursing school on Neuro for med surg. I feel overwhelmed with everything that has to do with the subject, but watching your videos makes me feel better because you cover everything, it helps so much, and helps me understand the topic so I don't have to memorize all the symptoms! I have been watching your videos for YEARSS!! Thank you for all that you do :)
Thank you so much! Your lectures are so helpful. I love your explanations.
This video is incredible! Well demonstrated and structured. I appreciate your work so much. Keep up the great work!
I wanted to thank you so much for this video . Reading my textbook does not do me justice em but when I listen to you it makes so much more sense ! Thank you again 🙏🏽🙏🏽🙏🏽
You have a gift! Thank you so much.
I’m a new nurse . I watch your videos eryday before my shift the next day. It helps a lot.
Welldone, you're always the best
You are an excellent teacher, very easy to understand and follow. From Melbourne, Australia
Hi,nurse Sarah, I'm a nursing student , I want to let you know how your lecture video help me so much , I appreciate you so much for what you have been doing.may God bless you.
You’re awesome thank you for your contribution to the nursing field we appreciate you
Thank you for your crystal clear teaching.it helping me in my study as nurse practitioner.
I really enjoyed this video. It was 1st one I’ve watched. I’m so glad I found your channel. I’m not sure if you have a video on Chiari Malformation and EDS- Ehlers-Danlos Syndrome because I haven’t had a chance to look yet but if not do you think you might could make them. I would really appreciate it. I suffer from all these including IIH-Idiopathic Intracranial Hypertension and have an LP Shunt so I understand a lot of this. Thanks for breaking stuff down so people will understand.
Your videos are very informative. Thank you so much for your efforts and helping the nurses and healthcare professionals understand the complex medical topics. God bless you.
Thank you soo much!!! I really appreciate your detailed instruction. God bless you and your family!
Love your videos! they have definitely helped me with my exams over the past 3 years. Are you able to do a video on spinal cord injury or seizures? we are currently doing neuro in class
😅Muito obrigado pelo que fez pela minha mãe,dá gosto ver todos os seus vídeos doutor. Bacana ! As pessoas costumam dizer que a motivação não dura sempre. Bem, nem o efeito do banho, por isso recomenda-se diariamente.
Thank you Sarah for great lecture on ICP GOD BLESS YOU!
Thanks God for having you!
Thank you so much for your hard work on your videos!! You seriously help me with studying so much
Such a great lecture. In your new videos, you speak slowly with more relaxing tone, and the 30 minutes time frame is way better than the short ones. Overall, You are doing an awesome job !!!!
Thank you very much for the kind comment. I'm so happy you're enjoying the videos. Thank you for your viewership :)
I really learned a lot from her
thank you so much Sarah RN
Thank you so much for all the lectures you are sharing to us ....It really help ..!!!
Thank you so much for creating videos like these...you are a god sent...please dont stop. They have helped me alot during nursing school...n it continues as i'm now preparing for my lisence exam, u wouldn't know how many lives you have touched and enhanced by just preparing these videos, so much thought, detailed n love goes into these n it shows that you care about others. I wish u all the best in everything that you do n God's richest blessings on your family
I'm attending a school that does not provide a lecture or study guide thank you for all you do this has help me tremendously
My nursing school I graduated from is the worst. Ill sue them and ask them to send you the tuition I paid them otherwise they go to jail.
You're a blessing! 😘
hi Sarah! i just wanna let you know that all your videos helps me a lot in my review for NCLEX though i did'nt took up the exam yet. What i love about in your videos is that every topic you've discussed was precised and in detailed that's why its easy to catch up now the other topics that its hard to understand before specially in other topics under OB and MedSurg.
Thank you Sarah, more power to you and God Bless! by the way I'm from Philippines! =)
I am mom and caretaker of my son. Hes 20 with a TBI. Bedbound, peg tube, DI, hydrocephalus, SAH, IVH, Stroke of the basal ganglia etc
Thanks for these video
I learn alot of the things i need to know to provide an acceptable level of care for him as well as keep some of my sanity.
THANK YOU 😭♥️ reviewing for my final and you are just amazing!!
Hi ilirida I would like to ask if you did NCLEX exam,pls let me know about it my exam will be next month-Thanks
Your videos have been wonderful
You are always on point with your topics and tips!! I have just started the junior level (3rd out of 4) Jan. 16th..and this topic will be part of exam 2 this semester. I also have viewed and will review again your vids on maternity/ob and peds...this will also be covered this semester!! You are an excellent resource for student nurses!! I must admit..I have come a LONG way with your skills, tips, notes, and quizzes!! thank you so much..you are a like a walking drug/med surg guide!! :-)
Hello to you :) Glad to see you back here again. I hope you enjoyed the winter break! I'm so honored to be your drug/med surg guide...thank you using the videos and their resources. My goal is to add more OB and Peds videos. I'm trying to add more neuro videos before I move on...so hopefully that may help you this semester as well. As always thank you for your comment. Best wishes this semester.
You really help a lot!!! Thank you so much for your videos. Keep them coming :)))
My sister is going to enroll nursing this coming semester and i would love to recommend all your videos to her so she could learn and understand more of the topics that they are learning inside the class😊
Omg you just made me understand so much after reading my PowerPoint. I was stressed. But this makes it easy
Sara, thank you so much. You are an angel.
Your videos are amazing. Very detailed and very good presentation of all the topic. Thank you very much
Thank you Professor ❤
I love you! Thank you so much!
Your always right on time with your videos☺️
Awesome video, please keep posting other topics also. I understand so much from your videos, thank you.
Thank you so much! Yes, I most definitely will. I add new videos every week....so always stay tuned!
You are so good at teaching. Thanks very much!
thanks for this. I love your videos.
Thank you!! I would be struggling in nursing school without you! :)
Way far better, comprehensive, detailed and straightforward, compared to my university online classes😅, you earned a permanent subscriber and also watch your add in middle 😂for my side of contributions.
This was so much easier to understand. Thank you.
Thank's ! you're a genuis nurse 🔝
You are awesome!! Can you do one for seizure disorder ? I have learned so much from your videos. Thank you!
Thank you very much :) Yes, I hope to cover this at some point. Thank you for the great suggestion!
I have Hydrocephalus, and I find these videos very informative. I've lived this, but don't really remember anything other than the pain.
Excellent video. Thank you so much. ❤
Thank you so much! You make complex ideas so easy to understand.
My nursing school Professor Post’s your video and at times doesn’t even lecture. Thank you for your detailed lecture 😍
Incredible. Thank you SO much!
These videos have saved my but so many times when it comes to nursing school
Your videos are so thorough n detailed that teach us more than books in significantly less time n thank you for that. That was initially noticed by students first. However, now it seems like instructors notice that too, coz they are taking it easy thinking that RN Sera’s videos will take care of it….😅 but u r awesome n helping us all the way through…. Thanks for that…
Excellent information explained clearly. Thank you so much!
Great Video Doc,
Hi from Ghana.
Thank you for this! I found your site when I got into OB and now that im in Pediatrics learning about ICP this helped a lot. I know this was probably aimed for adults rather than pedis, you hit all the stuff I needed to know (Decorticate/Glasgow coma scale/Interventions) So thank you for making it understandable and memorable
So... so thorough 😳 Thanks so much!
This video is very useful.
Thank you so much. Pls more topics.
30 years ago had 45 pounds of intracranial pressure. Changed my life forever. But I do ok. Life is difficult, but life ain't bad.