The nurse is caring for a patient with an ICP of 18 mm Hg and a GCS score of 3 . Following the administration of mannitol (Osmitrol), which assessment finding by the nurse requires further action?
a. ICP of 10 mm Hg
b. CPP of 70 mm Hg
c. GCS score of 5
d. CVP of 2 mm Hg
D
Osmotic diuretics draw water from normal brain cells, decreasing ICP and increasing CPP and urine output. An ICP of 10 mm Hg and CPP of 70 mm Hg are within normal limits. A GCS score of 5, while not optimum indicates a slight improvement. A CVP of 2 mm Hg indicates hypovolemia. To ensure adequate cerebral perfusion, further action on the part of the nurse is necessary.
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