Objective

This paper provides a review of current knowledge on intracranial pressure (ICP) dynamics, assessment, and diagnostic considerations, and presents a ladder approach to the management of the neuro-oncological emergency increased ICP.

Data Source

Review of recent literature from PubMed.

Conclusion

Increased ICP can rapidly escalate into a catastrophic event. Prompt initiation of an individualized ladder approach to clinical management enabled by early recognition of symptoms and application of diagnostic tools have been shown to improve outcomes in patients suffering from this neuro-oncological emergency.

Implications for Nursing Practice

The care of cancer patients with increased ICP can be very challenging. When increased ICP in patients with cancer is evident or strongly suspected, nurses need to initiate a prompt and effective care plan that includes intensive monitoring of symptoms and continuous assessment of the patient's neurological condition that will guide diagnostic and treatment decisions. Nurses must continue to recognize the importance of utilizing best available evidence to support a collaborative interdisciplinary clinical plan of care.

中文翻译：

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颅内压升高：使用个性化阶梯方法

客观的

本文回顾了当前有关颅内压 (ICP) 动力学、评估和诊断注意事项的知识，并提出了管理神经肿瘤急诊颅内压升高的阶梯方法。

数据源

PubMed 近期文献综述。

结论

增加的 ICP 会迅速升级为灾难性事件。通过早期识别症状和应用诊断工具，迅速启动个性化的临床管理阶梯方法已被证明可以改善患有这种神经肿瘤急症的患者的预后。

对护理实践的影响

治疗 ICP 增加的癌症患者可能非常具有挑战性。当明显或强烈怀疑癌症患者的 ICP 升高时，护士需要启动一个及时有效的护理计划，包括对症状的强化监测和对患者神经系统状况的持续评估，以指导诊断和治疗决策。护士必须继续认识到利用最佳可用证据支持协作式跨学科临床护理计划的重要性。