Increased Intracranial Pressure (ICP)

CARE OF CLIENT WITH INCREASED INTRACRANIAL PRESSURE

1. Institute seizure precautions
2. Administer oxygen as ordered
3. Monitor for changes in intracranial pressure
4. Monitor neuro vital signs as ordered
5. Maintain fluid restriction as ordered
6. Observe for herniation syndrome
7. Raise head of bed at 30-45 degrees; avoid 90 degrees since pressure in hip area increases ICP
8. Prevent any activities that increase ICP such as: laughing, straining at stool, coughing, vomiting, any restrictive clothing around neck, anxiety, pushing up in bed with heels, pulling on rails when turning, neck rotation, flexion or extension
9. Provide for the care of the unconscious clients if decreased LOC