How to Answer Wang Returned From Questions (Complete Guide)

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Original Question

Ms. Wang returned to the ICU from surgery 4 hours later extubated with ICP monitoring via a subarachnoid bolt (Camino), somewhat groggy from anesthesia with a GCS of 13. Two hours later, her ICP is 32 mm Hg, BP 170/46 (87) mm Hg, HR 52 beats per minute, RR 19 breaths per minute Biot’s breathing pattern noted, and temperature 96.1o F (35.5o C). Her Glasgow Coma assessment reveals: no eye opening, no verbal response, and decorticate posturing in her bilateral upper extremities. You notify the physician of the acute changes in Ms. Wang’s condition. The physician orders a STAT head CT and hypertonic saline solution (3% saline) IVPB to be administered after intubation. STAT Head CT Scan Findings: extension of linear skull fracture to the occipital bone causing the dura to pull away from the skull.

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