1. I need some help. I am taking the CCRN exam tomorrow (God help me!) and I worry that the text I am studying from is a little old. Is mannitol still used for increased intercranial pressure? How about hyperventilation? Any help would be appreciated.
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    About luvtheOBX

    Joined: May '07; Posts: 10
    RN in ICU
    Specialty: 20 year(s) of experience in ICU, oncology


  3. by   Aquarian
    Mannitol is still being used (20%) at 0.7 to 1 gram/ kg in 15 minutes, much higher than before.

    Hypertonic saline solution is used for severe head injury accompanied by arterial hypotension.

    High-dose barbiturate therapy (pentobarbital or thiopental) in selected cases of refractory ( not uncontrolled ) intracranial hypertension in pediatric TBI.

    Controlled hypocapnia still used for short-term ICP control. Damage of hyperventilation by reducing CBF (causing cerebral ischemia) far outweighs its value for reducing ICP (thru vasoconstriction and reduction of cerebral blood volume) .

    May the force be with you! Goodluck on your exam!
    Last edit by Aquarian on May 15, '07
  4. by   luvtheOBX
    Thanks so much!