Question

When considering the use of hypertonic saline treatment in a patient with increased intracranial pressure (ICP), which factors should the nurse consider? Select all that apply.

-The nurse should closely monitor blood sugar levels in the patient.

-The nurse should frequently monitor the blood pressure and sodium levels.

-Hypertonic saline treatment works similarly to mannitol in treating increased ICP.

-Hypertonic saline treatment provides massive movement of water out of swollen brain cells.

-The nurse should ensure that antacid is given to prevent gastrointestinal complications.

Answer 1

When considering hypertonic saline treatment for increased intracranial pressure (ICP), the nurse should monitor blood pressure and sodium levels, as well as the patient's blood sugar levels. Hypertonic saline treatment works similarly to mannitol to reduce brain swelling, and it promotes water loss from swollen brain cells.

Step-by-step explanation:

When considering the use of hypertonic saline treatment in a patient with increased intracranial pressure (ICP), there are several factors that the nurse should consider:

• The nurse should frequently monitor the blood pressure and sodium levels to assess the effectiveness and safety of the treatment.
• Hypertonic saline treatment works similarly to mannitol in treating increased ICP, both promoting water loss through osmosis.
• Hypertonic saline treatment provides massive movement of water out of swollen brain cells, reducing brain swelling and ICP.

The nurse should also closely monitor blood sugar levels in the patient and ensure that antacid is given to prevent gastrointestinal complications are not directly related to hypertonic saline treatment.