What is the nursing role for patient with increased intra cranial pressure ?

Keep patient on bedrest

Assess neurological status as per protocol or assessment follow up

Give prescribed medication as ordered 

Avoid any still to on to women conditions of patient

Allay any anxious by reassuring and involving and explain any procedures to pati

• First put the head of the bed on thirty degrees to reduce pressure and encourage venous drainage.
• Put the patient on oxygen
• Monitor the vital signs and report the abnormalities
• Monitor the GCS hourly
• Monitor the pupils hourly
• Keep the patient cool to reduce temperature, cover the patient with a light sheet.
• Monitor the urine output hourly
• Give analgesia as prescribed
• Catheterise patient to avoid urinary incontinence and pressure care2 or4 hourly
• Give a mild laxative to soften the stool and discourage straining and prevent raised ICP

Monitor patient’s neurologic status, ICP and vital signs at least every hour.  Notify physician for collaborative management or institute a protocol to respond to a sustained ICP greater than20.    Maintain patient’s head of the bed at30 degrees elevation or higher and patient’s body in a neutral position. Do not allow pronounced neck or hip flexion.  Monitor the patient’s temperature and maintain it within designated parameters, aggressively treat hyperthermia.   Monitor patient’s blood gases, collaborate with physician and respiratory therapist to resolve hypercarbia, hypocarbia, or hypoxia.    Suction only after preoxygenating the patient and for less than10 seconds at a time.    Spread nursing activities out, do not cluster them

elevate the head by30-45 degrees,hyperventilate him with mechanical ventilation if available,mannitol infusion,strict vital sign and input-output monitoring,consult neurosurgeon based on findings from neurosurgical evaluation.