@nursedosepodcast: We are venturing into the Neuro ICU for this scenario (it can’t all be about cardiac… unfortunately). What’s going on and what interventions could you expect?? There is more than one right answer here! . Check out the ICU STARTER BUNDLE and the other Nurse Dose Cheat Sheets/Resources in the bio! . Follow for more ICU nursing education! 🎓 . #cvicu #cardiacnurse #criticalcare #nursingschool #icunurse #newgradnurse #newgradrn #nursesofinstagram #icunurselife #flightnurse #criticalcarenurse #emergencydepartment #nurselife #paramedic #ernurses #medicalstudents
Vasodilation from increased pco2, causing an increase in ICP? Cushings triad, if they are intubated potentially increasing RR and tidal volume?
2025-06-12 13:19:47
88
daniel_g8880 :
Cushings triad with hypercapnia. Increase the RR and tidal volume on the vent. AkA ask my nice RRT to fix the breathing machine. If that doesn’t work possibly given 3%, mannitol, or drain some CSF off the EVD.
2025-06-12 14:47:06
30
philipcole42 :
He is herniating. 3% saline and TTM (although TTM may be aggressive)
2025-07-19 03:27:38
1
Luna871235 :
Cushing’s triad, increased icp late sign , possible brain herniation, mannitol and prep for surgical intervention and immediate emergent EVD placement
2025-06-12 21:18:01
33
lauren.amber.20 :
Mannitol, 3%, max propofol, increase RR, lower EVD
2025-07-11 02:06:12
1
Bad Habit Rabbit :
Herniation?
2025-07-25 22:17:53
1
Zombywoof :
Cushion’s triad
2025-06-12 21:39:12
0
Shay Shinneman :
Hemorrhaging
2025-06-13 06:11:32
1
user9132312543105 :
Call for a stat psych consult
2025-07-24 13:20:56
1
user7655312796651 :
Neuro code that patient and speak with MPOA
2025-06-13 09:13:06
0
Kala Nelson ❌ :
You ask yourself “what could I, the nurse, have done better?”
2025-06-14 14:24:46
6
chessie :
Idk i would get more nursy nurse and ask help
2025-07-24 21:34:51
1
Cynthia Cole :
Cushing.. swelling for those who don’t know . Need to emergently decompress . This point there are maneuvers but what is needed is OR super stat
2025-06-12 23:46:48
1
Mary Taylor :
Mannitol / prep OR / shunt/ cardiac support 🙏
2025-06-12 23:01:54
4
Astrid Wallace :
3%??
2025-06-12 14:04:23
2
Marek NovaCloak :
icp crisis at 26. first optimize HoB to 45° and keep head neutral. zero and level evd after and drain if applicable. check licox pbto2 if applicable. since patient is posturing likely 23.4% to prevent herniation and neurosurgery intervention for dhc
2025-06-12 15:14:43
3
joseph0398 :
Goals of care with the family so the patient doesn’t have to live with a debilitating TBI for years to come.
2025-06-12 18:11:40
6
Salty :
she's got a bleed, and the ed attending missed it. she's gonna need neuro and tots and pears
2025-06-13 02:41:51
0
Nico c :
Give them all the sodium!!!
2025-06-12 13:22:54
4
mnbatnurse :
Brainstem herniation. Cushing's triad. Mannitol. stat CT, if able, prep for ventriculostomy.
2025-07-25 00:12:56
3
Nelly :
Herniatingggg
2025-06-12 14:25:00
2
Sarah :
Albuterol neb. Fixes everything
2025-06-12 14:13:32
2
happywc7 :
Needs a drain
2025-06-12 13:17:23
2
cherylking9995 :
Cushing s triad. Needs mannitol, and emergent EVD
2025-06-13 23:24:42
0
belzeubub :
Bring the co2 down
2025-06-12 14:35:33
0
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