The nurse is caring for a client who is being treated for cerebral vasospasm with a medical treatment referred to as triple-H therapy
Which of the following assessment data confirm that the treatment is currently effective? Select all that apply. 1. BP 170/96
2. Hematocrit 34%
3. Mean arterial pressure (MAP) 110 mmHg
4. Intercranial pressure (ICP) 10 mmHg
5. Urine output 40 ml/hr
1. BP 170/96
2. Hematocrit 34%
3. Mean arterial pressure (MAP) 110 mmHg
4. Intercranial pressure (ICP) 10 mmHg
Rationale:
BP 170/96. Triple-H therapy consists of hypertension, hemodilution, and hypervolemia. The goal of triple-H therapy is to increase cerebral perfusion pressure and CBF, therefore reducing the risk for further neurological deficits. Systolic blood pressure should be kept at no less than 160 mmHg. Hematocrit 34%. Triple-H therapy consists of hypertension, hemodilution, and hypervolemia. The goal of triple-H therapy is to increase cerebral perfusion pressure and CBF, therefore reducing the risk for further neurological deficits. Hematocrit should be between 32% and 35% to reflect good cerebral perfusion. Mean arterial pressure (MAP) 110 mmHg. Triple-H therapy consists of hypertension, hemodilution, and hypervolemia. The goal of triple-H therapy is to increase cerebral perfusion pressure and CBF, therefore reducing the risk for further neurological deficits. Mean arterial pressure (MAP) should be between 60 and 150 mmHg. Intercranial pressure (ICP) 10 mmHg. Triple-H therapy consists of hypertension, hemodilution, and hypervolemia. The goal of triple-H therapy is to increase cerebral perfusion pressure and CBF, therefore reducing the risk for further neurological deficits. Systolic blood pressure should be kept at no less than 160 mmHg. Urine output 40 ml/hr. Urine output is not considered an assessment value for monitoring triple-H therapy.
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