Monitoring for Increased Intracranial Pressure
Client is at most risk for increased intracranial pressure (ICP) resulting from edema during the first 72-hours after the onset of the stroke.
Nurse elevates the HOB to 0-5 degrees and maintains the client’s head in a midline position.
Avoid clustering activities and nursing procedures.
Hyperoxygenate the client prior to suctioning.
Quiet environment in presence of headache.
Lights lowered for clients with photophobia.