Triple H therapy and ICP question....please

Specialties Neuro

Published

Hi,

I have a question for all the Neuro ICU nurses.I have heard some of you guys speak of triple h therapy....what is triple h therapy and why is it used?

And the second part of my question is on ICP monitoring.At what reading/range do you get "worried" about your patients?I know any type of prolonged elevated icp can cause injury...but I am talking about being worried over immediate /possible significant sentinel event type of worried?

For the elevated icps what drugs are typicall ordered on your unit...decadron,mannitol,dilantin.....anything else?thanks!

Specializes in ICU.

Actually I was just commenting on the different language usage between countires.

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Specializes in Neurology, Neurosurgerical & Trauma ICU.
Actually I was just commenting on the different language usage between countires.

Ok, now I'm really confused!

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Specializes in ICU.

Sorry Mate!! But we DO use different terms for things over here than you do over there. Sometimes it is a "local" thing and sometimes it is a national thing. e.g Serial Compression Devices are often refered to as "scuds" disposable undersheets are "blueys" while your schecule is a "roster". Until someone explains it terms like "triple H therapy" can really trip me up.

BTW thanks for your input on this.

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Specializes in Neurology, Neurosurgerical & Trauma ICU.
Sorry Mate!! But we DO use different terms for things over here than you do over there. Sometimes it is a "local" thing and sometimes it is a national thing. e.g Serial Compression Devices are often refered to as "scuds" disposable undersheets are "blueys" while your schecule is a "roster". Until someone explains it terms like "triple H therapy" can really trip me up.

BTW thanks for your input on this.

Sure...I love my job and I'm always happy to educate those that want to learn! I enjoy reading your posts too because you're obviously very knowledgable about many things. I've come to "respect" your opinion.

Actually, I've heard SCDs referred to as scuds! :chuckle

Now, I was originally confused about "Hawaii RN" obviously thinking that someone said Triple H therapy was for increased ICP. Don't know where he/she got that.

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Specializes in Emergency Nursing Advanced Practice.
Steroids are also useful in cases of spinal and/or cord injury.

.

Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

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Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

same for me...

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Not really. The NASCIS study was very flawed.

Do not give me steroids if I transect my cord. I do not want to die of pneumonia.

Can you please elaborate on why you would die of pneumonia if you get steriods to decrease cord swelling. Is it simply because of the lowered immune response with the added ETT insertion? If that's not what you're referring to then I'm lost. :o

Also, can you explain what this study was supposed to show. Or better yet, a link so I can view the study myself.

Thanks

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By the way guys/gals I passed the NCLEX. I start orientation on June 21st in Neuro/Trauma ICU. Thanks for all the encouragement.

:balloons:

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Specializes in ICU.
By the way guys/gals I passed the NCLEX. I start orientation on June 21st in Neuro/Trauma ICU. Thanks for all the encouragement.

:balloons:

Way to GO!!! Congrats!!!

Welcome to the wonderful and scarey world of Neuro. Will look forward to more posts - and remember on this board and ESPECIALLY in this forum.

NO QUESTION IS TOO "STUPID"

If you don't konw something and need to know it then that is all that matters.

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Specializes in Neurology, Neurosurgerical & Trauma ICU.
Way to GO!!! Congrats!!!

Welcome to the wonderful and scarey world of Neuro. Will look forward to more posts - and remember on this board and ESPECIALLY in this forum.

NO QUESTION IS TOO "STUPID"

If you don't konw something and need to know it then that is all that matters.

Aw Gwenith...I liked your other avatar soooo much better!!! That pic over there just doesn't suit you! :)

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Yaaaay Dustin! Way to go! :balloons:

Enjoy your orientation and be sure to keep asking questions, whether it be here or at your place of employment. Be sure and keep an open mind and a good sense of humor.

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Thanks for all the encouragement! I'm sure I will have plenty of questions once nursing orientation starts.

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