A client with a head injury is demonstrating signs of increased intracranial pressure (IICP). Which classifications of medications should the nurse prepare to administer to this client?
Select all that apply.
A) Loop diuretics
B) Antibiotics
C) Anticonvulsants
D) Histamine H2 antagonists
E) Antipyretics
Answer: A, C, D, E
Medications play an important role in the management of IICP. Loop diuretics are commonly used to reduce ICP. Antipyretics such as acetaminophen are used alone or in combination with a hypothermia blanket to treat hyperthermia. Anticonvulsants are often required to manage seizure activity associated with brain injury and IICP. Gastrointestinal prophylaxis with intravenous histamine H2 antagonists are often used because clients with IICP are at increased risk for developing stress gastritis and ulcers. Antibiotics are not routinely prescribed as treatment for IICP.
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