Ineffective Cerebral Tissue Perfusion related to increased volume of cerebrospinal fluid.
NOC : circulation status
NOC – Expected outcomes:
1. Indicate the status of the circulation is characterized by the following indicators:
- Systolic and diastolic blood pressure within normal range
- No major vein noisy
- Communicate clearly and in accordance with the age and ability
- Show attention, concentration and orientation
- Demonstrated long-term memory and the current
- Process information
- Make the right decision
1. Monitor the following matters:
- Vital signs
- Headache
- Level of awareness and orientation
- Inistagmus diplopia, blurred vision, visual acuity
- ICT monitoring and neurological response of the patient care activities
- Monitor tissue perfusion pressure
- Note the change in the patient in response to stimulus
- Monitor the presence of paresthesias: numbness or tingling
- Monitor the status of fluid intake and output including
- Keep the thermodynamic parameters within the range recommended
- Give the drugs to increase intravascular volume, as requested
- Give a drug which causes hypertension to maintain cerebral perfusion pressure according to demand
- Elevate the head of the bed 0 to 45 degrees, depending on the patient’s condition and medical demand
- Give loap and osmotic diuretics, according to demand.