Your jobA hematoma is growing inside a skull that cannot expand. Change the volume, the blood pressure, the carbon dioxide level, positioning and treatments, and keep cerebral perfusion pressure (CPP = MAP minus ICP) at 60 to 70 with ICP at 20 or less. Work through the challenges on the right.
Teaching model, not a clinical calculator. Added volume = hematoma + carbon dioxide effect + head position + fever, minus drained CSF and water pulled out by hyperosmolar therapy. ICP follows an exponential pressure-volume curve; CPP = MAP minus ICP. The Cushing reflex appears when perfusion is failing.
Items are drawn from a pool of written questions plus calculations with fresh numbers each time. The streak counts answers right on the first try without showing the answer.
Your jobEach card is a nursing action in a specific situation. Decide fast: does it help the patient's brain, or harm it? You have 60 seconds. Wrong answers cost 3 seconds.
Fictional patients and simplified findings. For learning only, not medical advice.
Wrong picks are fine here. Each one tells you why.