Nursing Care plan includes- Monitoring patient’s neurologic status, ICP and vital signs at least every hour. Notify physician for collaborative management or institute a protocol to respond to a sustained ICP greater than 20. Monitoring the patient’s temperature and maintain it within designated parameters, aggressively treat hyperthermia. Monitoring patient’s blood gases, collaborate with physician and respiratory therapist to resolve hypercarbia, hypocarbia, or hypoxia. Suction only after preoxygenating the patient and for less than 10 seconds at a time.

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