22. • An intraventricular catheter (ventriculostomy), a subarachnoid bolt, an epidural or subdural catheter, or a fiberoptic transducer-tipped catheter placed in the subdural space or the ventricle can be used to monitor ICP. 23. ICP MONITORING 24. 25. 26. DECREASING CEREBRAL EDEMA •OSMOTIC DIURETICS (MANNITOL) May be given to dehydrate the brain tissue and reduce cerebral edema. • They act by drawing water across intact membranes, thereby reducing the volume of brain and extracellular fluid. • An indwelling urinary catheter is usually inserted to monitor urinary output and to manage the resulting diuresis. 27. OSMOTIC DIURETICS (MANNITOL 28. 1. Corticosteroids (e. g., Dexamethasone) help reduce the edema surrounding brain tumors when a brain tumor is the cause of increased ICP. 2. Another method for decreasing cerebral edema is fluid restriction. 29. MAINTAINING CEREBRAL PERFUSION • The cardiac output may be manipulated to provide adequate perfusion to the brain. • Improvements in cardiac output are made using fluid volume and inotropic agents such as dobutamine hydrochloride.
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