A patient is admitted with a traumatic brain injury. Which of the following will be the primary focus of care for this patient?
1. moderate neuronal death
2. reduce cerebral swelling
3. confine cerebral inflammation
4. limit ischemic tissue injury
4
Rationale: The first goal in treating traumatic brain injury is to limit the primary ischemic tissue injury by aggressive prevention and treatment of hypoxia and hypotension. Neuronal death, cerebral swelling, and cerebral inflammation are additional causes of secondary brain injury however the first goal in treating a patient with a traumatic injury is to limit brain ischemia.
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