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Treatments for High altitude cerebral edema

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Cry, high-pitched [Cerebral cry]: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Monitor the infant's vital signs, ICP, and neurologic status to detect subtle changes in his condition.

▪ Monitor his intake and output.

▪ Restrict fluids and administer a diuretic.

▪ Increase the head of the bed 30 degrees, if the condition permits, and keep the head midline.

▪ Perform nursing care judiciously because procedures may cause a further increase in ICP.

▪ For an infant with severely increased ICP, prepare for ET intubation and mechanical hyperventilation to decrease serum carbon dioxide levels and constrict cerebral blood vessels.

▪ Institute hyperventilation, as ordered, for acute increases in ICP after the health care team has weighed the risks and benefits.

▪ Alternatively, prepare for barbiturate coma or hypothermia therapy, as ordered, to decrease the infant's metabolic rate.

Patient teaching

▪ Because the infant with increased ICP requires specialized care and monitoring in the intensive care unit, prepare his parents for the transfer.

▪ Tell the parents to avoid jostling the infant, which may aggravate increased ICP.

▪ Show the parents how to comfort the infant and maintain a calm, quiet environment to avoid increasing ICP.

▪ Explain the infant's diagnosis and the treatment plan to the parents.

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Source: Nursing: Interpreting Signs and Symptoms, 2007



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