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Which of the following sets of vital signs is MOST suggestive of increased intracranial pressure in a patient who has experienced a traumatic brain injury?

a) Increased BP, decreased pulse, irregular respirations
b) Increased BP, decreased pulse, increased respirations
c) Decreased BP, increased pulse, irregular respirations
d) Increased BP, increased pulse, increased respirations

1 Answer

3 votes

Final answer:

Increased BP, decreased pulse, and irregular respirations (Cushing's triad) are the vital signs most indicative of increased intracranial pressure following a traumatic brain injury, indicating the body's attempt to maintain cerebral perfusion.

Step-by-step explanation:

The set of vital signs that is most suggestive of increased intracranial pressure in a patient who has experienced a traumatic brain injury is a) Increased BP, decreased pulse, and irregular respirations. This combination of vital signs is commonly referred to as Cushing's triad, which is a clinical syndrome characterized by hypertension (increased blood pressure), bradycardia (decreased pulse), and irregular respiration. These signs indicate that the body is attempting to maintain cerebral perfusion in the face of increased intracranial pressure, which is a medical emergency requiring immediate attention.

Intracranial pressure can result from brain injury, causing constriction of cerebral blood flow and potential neuronal and glial vulnerabilities. Detection and management of increased intracranial pressure are crucial for preventing further brain damage and improving patient outcomes.

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