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Detecting Early Indications of Increasing ICP The nurse assesses for and immediately reports any of the fol- lowing early signs or symptoms of increasing ICP в Disorientation, restlessness, increased respiratory effort, pur- poseless movements, and mental confusion; these are early clinical indications of rising ICP Buy Low Cost Sildefil For Sale the brain cells re- sponsible for cognition are extremely sensitive to decreased oxygenation в Pupillary changes and impaired extraocular movements; these occur as the increasing pressure displaces the brain against the oculomotor and optic nerves (cranial nerves II, III, IV, and VI) arising from the midbrain and brain stem (see Chap.

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