07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Study Tools For 07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

Routine Neuro Assessments (Cheatsheet)
Brain Herniation Cheatsheet (Cheatsheet)

Outline

Nursing Points

General

  1. Cushing’s Triad (Not the same as Cushing’s Syndrome)
    1. Result of increased intracranial pressure (ICP)
      1. Increased systolic pressure
      2. Widening pulse pressure
      3. Decreased heart and respiratory rate
      4. Treatment
        1. Mannitol –> Only if there are good cells left (Mannitol doesn’t treat edematous cells)
        2. 3% Sodium Chloride –> Run it wide open

                                 

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