After inserting a ventriculostomy catheter in a client with a traumatic brain injury, which ICP finding should the nurse report?

In the context of managing a client with a traumatic brain injury, monitoring intracranial pressure (ICP) is critical for assessing brain conditions and potential complications. The normal range for ICP is typically considered to be between 5 mmHg and 15 mmHg. Values above 15 mmHg indicate increased intracranial pressure, which can be detrimental and requires careful monitoring and intervention.

An ICP measurement of 20 mmHg is above the normal limits but may be considered tolerable in certain clinical scenarios, and while it warrants monitoring, it might not immediately necessitate intervention. However, a reading of 25 mmHg signifies significantly elevated intracranial pressure, which poses a risk for brain injury due to decreased perfusion and could lead to herniation or other serious complications.

When ICP reaches 30 mmHg, this is deemed critical and represents a medical emergency. This level of pressure suggests severe compromise of intracranial conditions, indicating the necessity for immediate medical intervention to prevent irreversible neurological damage. Therefore, it is crucial for the nurse to report the reading of 30 mmHg to ensure appropriate and timely intervention to protect the patient’s neurologic status.

The understanding of ICP thresholds is vital for the nursing management of patients with brain injuries,