Page 2554 - Saunders Comprehensive Review For NCLEX-RN
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cerebral edema and fluid overload.
Hyperosmotic Agent
▪ A hyperosmotic agent increases intravascular pressure by drawing fluid from
the interstitial spaces and from the brain cells.
▪ Monitor renal function.
▪ Diuresis is expected.
Box 69-22
Surgical Intervention for Chronic Increased
Intracranial Pressure: Ventriculoperitoneal Shunt
Description
▪ A ventriculoperitoneal shunt diverts cerebrospinal fluid from the ventricles into
the peritoneum.
Postprocedure Interventions
▪ Position the client supine and turn from the back to the nonoperative side.
▪ Monitor for signs of increasing intracranial pressure resulting from shunt failure.
▪ Monitor for signs of infection.
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