The nurse is caring for a patient diagnosed with refractory increased intracranial pressure after a traumatic brain injury. Which of the following would be indicated to help reduce this patient's intracranial pressure?
1. anti-seizure medication
2. hyperbaric oxygen therapy
3. high volume intravenous fluids
4. barbiturate therapy
4
Rationale: Medical intervention for the treatment of increased intracranial pressure refractory to all other medical interventions may include the use of high-dose barbiturates. This intervention induces a comatose state and significantly decreases cerebral oxygen requirements. Anti-seizure medication may or may not be indicated for this patient. Hyperbaric oxygen therapy is not a treatment identified to help with refractory increased intracranial pressure. High volume intravenous fluids also are not a therapy for refractory increased intracranial pressure.
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