meninges

CSF

Nursing assessment
of neurological signs

Consciouness

Disorders of consciourness

Stimuli

Cranial nerves

GCS

Seizure management
must be observed for r
specific indicators

Pupil assessment PEARL

Ptosis

Pupils and nerve function

Oculomotor CN 111 nerve compression

Pressure on CN III

Pupils at midpoint and nonreactive

Small - nonreactive pupils

Dilated unreactive pupils

Signs of increase in ICP

Monro - Kellie hypothesis

Autoregulation

Autoregulatory reserve

Observations suggesting coning (herniation)

Cushing reflex

LP

EEG

ICP monitoring

ICP management

Burrhole

Craniotomy

Craniectomy

CPP = MPA - ICP

Care of a patient with increased ICP

Signs of increase ICP

TCD

Jugular bulb oximetry

Causes of TBI