A 40-year-old patient is brought with a head injury. Which of the following will help in decreasing the value of raised ICP?
Administer Nimodipine
Hyperventilation
Prevent the fall of CO2 levels in the blood
Administer adequate analgesia
In patients with raised ICP: 20-25 mm Hg for > 5 minutes, the following steps are used for management: 1. Elevate head end 2. Drain CSF Ventriculostomy 3. Osmotherapy using mannitol 4. Glucocoicoids for vasogenic edema ( don't give in head injury and stroke) 5. Hyperventilation to maintain PaCO2at 30-35 mm Hg. (use for sho-term or skip the step due to limited efficacy) 6. vasopressor therapy with phenylephrine, dopamine, and norepinephrine to ensure CPP of >60 mm Hg. 7. Second tier therapy: Decompressive craniectomy Pentobarbital coma Therapeutic Hypothermia to 33 degrees
Raised ICP and Brain death