Shared Flashcard Set

Details

Neuro PathoPhys
Crani's
9
Nursing
Graduate
06/14/2012

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Cards

Term
Which tumor type may cause cortisol deficiency?
Definition
Anterior pituitary tumor
D/t decreased ACTH release
Term
What is the most rapid way to decrease ICP in a patient with an intracranial mass?
Definition
Hyperventilation
Term
To decrease ICP, what is the goal PaCO2 range when hyperventilating:
An adult:
A child:
Definition
Adult: 30-35 mm Hg
Child: 20-25 mm Hg
Term
Which surgical case most often utilizes CSF drainage?
Definition
Aneurysm clippings
Term
Which diuretic is better for decreasing ICP in patients with limited cardiac reserve: Lasix of Mannitol?
Definition
Lasix
Term
Which type of drug needs to be given 48 hours prior to surgery in order to decrease localized edema around a tumor?
Definition
Corticosteroids
(Decadron, Solumedrol)
Term
How does the PaCO2 level affect CBF & ICP?
Definition
Increased PaCO2 -> vasodilation -> increased CBF -> increased ICP

Decreased PaCO2 -> vasoconstriction -> decreased CBF -> decreased ICP
Term
What is the normal cerebral autoregulation zone (MAP)?
Definition
MAP 70-150
Term
If used, which drug requires concomittant hyperventilation to prevent increased ICP?
Definition
Sufentanil (possible cerebral vasodilator)
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