@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

NurseDosePodcast
NurseDosePodcast
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Thursday 12 June 2025 13:12:25 GMT
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ambergurnett
Amber Gurnett :
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
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
philip.cole41
philipcole42 :
He is herniating. 3% saline and TTM (although TTM may be aggressive)
2025-07-19 03:27:38
1
luna871235
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
lauren.amber.20 :
Mannitol, 3%, max propofol, increase RR, lower EVD
2025-07-11 02:06:12
1
thebadhabitrabbit
Bad Habit Rabbit :
Herniation?
2025-07-25 22:17:53
1
boxerwoof
Zombywoof :
Cushion’s triad
2025-06-12 21:39:12
0
shayshinneman
Shay Shinneman :
Hemorrhaging
2025-06-13 06:11:32
1
user9132312543105
user9132312543105 :
Call for a stat psych consult
2025-07-24 13:20:56
1
user7655312796651
user7655312796651 :
Neuro code that patient and speak with MPOA
2025-06-13 09:13:06
0
kalamnelson1971
Kala Nelson ❌ :
You ask yourself “what could I, the nurse, have done better?”
2025-06-14 14:24:46
6
chessie408
chessie :
Idk i would get more nursy nurse and ask help
2025-07-24 21:34:51
1
user456246718
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
marytaylor1937
Mary Taylor :
Mannitol / prep OR / shunt/ cardiac support 🙏
2025-06-12 23:01:54
4
aalexiaa94
Astrid Wallace :
3%??
2025-06-12 14:04:23
2
mareknovacloak
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
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
saltyems
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
chiconico24
Nico c :
Give them all the sodium!!!
2025-06-12 13:22:54
4
the_bat_nurse
mnbatnurse :
Brainstem herniation. Cushing's triad. Mannitol. stat CT, if able, prep for ventriculostomy.
2025-07-25 00:12:56
3
nelidabetanco
Nelly :
Herniatingggg
2025-06-12 14:25:00
2
rtsarah88
Sarah :
Albuterol neb. Fixes everything
2025-06-12 14:13:32
2
happywc7
happywc7 :
Needs a drain
2025-06-12 13:17:23
2
cherylking9995
cherylking9995 :
Cushing s triad. Needs mannitol, and emergent EVD
2025-06-13 23:24:42
0
belzeubub
belzeubub :
Bring the co2 down
2025-06-12 14:35:33
0
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