Filissa Caserta – Increased Intracranial Pressure: Diagnosing & Management Tips and Tricks

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Exploring the Essential Features of “Filissa Caserta – Increased Intracranial Pressure: Diagnosing & Management Tips and Tricks”

Speaker: Filissa Caserta, MSN, ACNP-BC, CNRN

Duration: 1 Hour 59 Minutes

Format: Audio and Video

Copyright: Nov 09, 2022 

Media Type: Digital Seminar

Description

Neurologic deterioration in a patient can occur rapidly and have devastating consequences. Accordingly, early identification of increased intracranial pressure (ICP) along with swift initiation of lifesaving interventions is critical. The purpose of this session is to provide a framework for identifying the sometimes subtle early signs of increased ICP and understanding the interventions that must follow to prevent herniation and patient death. This will be achieved by providing easy-to-understand intra cranial dynamics, reviewing the patients at highest risk for developing increased ICP and discussing the evidence-based interventions for prevention and treatment of increased ICP.

Speaker

Filissa Caserta, MSN, ACNP-BC, CNRN

 
Filissa M Caserta, MSN, ACNP-BC, CNRN, is certified as an Acute Care Nurse Practitioner and Neuroscience Registered Nurse who works in endovascular neurosurgery at The Johns Hopkins Hospital in Baltimore, MD. She has worked in the field of neurosciences, specifically neuro-critical care and endovascular neurosurgery in various capacities for most of her 34-year nursing career. In addition to her role as a Nurse Practitioner, Filissa has held positions as nurse manager, adjunct faculty at The Johns Hopkins University School of Nursing, and program director for nursing practice.

She instituted the Acute Care Nurse Practitioner Program for The Johns Hopkins Hospital Neuroscience Critical Care Unit. Filissa has contributed to a wide variety of academic publications on neurocritical care and advanced practice nursing. She has shared her specialty expertise through national and international lectures.

Speaker Disclosures:
Financial: Filissa Castera has an employment relationship with the John Hopkins University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-Financial: Filissa Caserta is a member of the American Association of Neuroscience Nurses (AANN) and the American Association of Critical Care Nurses (AACN).

Objectives

1. Distinguish the main components of the cranial vault.
2. Analyze the Monro-Kellie hypothesis, compliance and compensation.
3. Evaluate the neuroscience patient populations at highest risk of increased intracranial pressure.
4. Differentiate between early and late physiologic signs of increased ICP.
5. Analyze at least 3 interventions to manage increased ICP.

Outline

• Quick Neuro Anatomy and Assessment
  • Cerebral cortex, cerebellum and brainstem
  • “A Walk Around the Brain” – LOC, motor, speech, cranial nerves, unconscious patient
• Cranial Vault
  • Components
  • Monro-Kellie hypothesis/Doctrine
  • Cerebral blood flow
  • Intracranial compliance
• Intra-Cranial Dynamics
  • Compliance
  • Compensation
• Increased ICP
  • Pathophysiology
  • High risk patient populations
  • Clinical presentation
  • Diagnostic tests
  • Herniation
• Management of Increased ICP
  • Osmotic therapy
  • Managing metabolic demand
  • Hyperventilation
  • Promoting venous outflow
  • Extra ventricular drainage
  • BP management
  • Decompressive hemicraniectomy

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants

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