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Options for Reducing ICP in the ED 1) Hyperventilation: Dropping PCO2 -> cerebral vasoconstriction -> reduced ICP. Target PaCO2 = 30 mm Hg 2) Mannitol: Osmotic diuretic. Delayed onset of action can lead to BP drops 3) Hypertonic saline: Avoids fluid shift issues you see w/ mannitol more rapid onset: 250 cc of 3% OR 30 cc of 23.4% OR 2-3 amps of NaHCO3 #emergencymedicine #emergencynurse #criticalcare #emergencynursing #resuscitation #prehospital #ems #emergencymed #emergency #pharmacology
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Options for Reducing ICP in the ED 1) Hyperventilation: Dropping PCO2 -> cerebral vasoconstriction -> reduced ICP. Target PaCO2 = 30 mm Hg 2) Mannitol: Osmotic diuretic. Delayed onset of action can lead to BP drops 3) Hypertonic saline: Avoids fluid shift issues you see w/ mannitol more rapid onset: 250 cc of 3% OR 30 cc of 23.4% OR 2-3 amps of NaHCO3 #emergencymedicine #emergencynurse #criticalcare #emergencynursing #resuscitation #prehospital #ems #emergencymed #emergency #pharmacology
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