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07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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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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