Monitoring At Risk For Elevated Icp Monitoring

Part 1: Discuss the necessity of understanding the interaction of the CPT procedural codes and the ICD diagnostic codes.

* Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion

Mr. P’s vital signs and diagnostic studies are as follows: Blood glucose level 700mg/dL, Blood Pressure 90/60mm Hg, Heart Rate 128 beats/min, Respiratory Rate 34 breaths/min, Temperature 100.8 F, Serum pH 7.26, Serum HCO3 10 mEq/L, BUN 40 and Creatinine 3.5.

Switching ICD-9 to ICD-10-CM is going to make a huge difference in the medical field! The switch to ICD-10-CM will help with cost reductions, improve quality of care for patients and update the healthcare data the way it should be. One of the major impacts of the switch would be that ICD-10-CM has 65,000 new codes that ICD-9 didn’t have. Having that many more codes means that the detail in each code will be extremely precise and there would be no question on a person diagnosis. The codes are mainly to classify a disease or someones’ major health problem. With ICD-10-CM new codes, they can become precise enough to identify diseases and produces that we were not able to in ICD-9. This is an awesome, huge step in the medical field!

The code set are said to be outdated and no longer meet the demand of healthcare, additionally ICD-9 cannot support many of the health IT and data exchange initiatives which made the implementation of ICD-10 an essential move. ICD-10 was implemented 1 October 2015 despite being one of the most feared events. The new system now saw Government agencies and payers provided with greater specificity on the conditions of the patients being treated (Conn & Herman, 2015). Additionally, it will also facilitate payers’ ability to profile specific providers, gauge outcome performance and adjust reimbursement based on the outcomes. Other improvement includes coding details connection with the data needs of accountable care organizations. Furthermore, there are a variety of conditions that were not uniquely defined in ICD-9-CM that now have an assigned code in ICD-10-CM. In the past, if a condition was not defined, coders had to determine the best way to code a condition, with the update, there will most likely be a specific code that will need to be used. Postoperative complication codes have been expanded. This will allow for distinction between intra and post-operative

Intracranial pressure stands as the compression in the inner part of the skull, in the brain tissue, and the cerebrospinal fluid. On the other hand, in a situation whereby the individual has an enormous bleeding, contusion, and brain laceration, which possibly will necessitate surgical interventions. The initial intervention is to physiologically stabilize the patient by monitoring the patient blood pressure and oxygen; given pain medication and complementary oxygen; treating seizures or fever, offering sedation and mechanical support for

RE: Facing Challenges 7/27/2015 7:44:37 PM I agree Erendida. I think with the ICD-9 books diagnosis

TBI is the leading cause due to high incidence, complexity and the presence of challenging clinical management situations such as intracranial hypertension, thoracic trauma and intra-abdominal hypertension. The most common manifestation of a TBI is acute RDS with a high mortality rate. Respiratory failure paired with high PEEP setting and low tidal volumes make patients with increased intracranial hypertension harder to manage. It is hard to maintain these patient’s PaCO2 within a normal range causing protective ventilation strategies to be more difficult. The protective ventilations strategies recommend the mechanical ventilation include maintaining plateau pressures lower than 30cm H2O independently of ARDS severity. However, in patients with a TBI are at greater risk for pulmonary injury, which depends on the trauma severity, even in patients with a TBI and no RDS. In both patient types, TBI with and without RDS, the protective mechanical ventilation strategies are aimed at protecting the lungs and the lung function. Because of the variety of disease causes, there is speculation as to whether ARDS should be described as a single entity, or whether for each special situation it could all be described as a specific class of ARDS, with different management of the ventilation. The aim of this study

One hundred and twenty injured participants will be randomly selected from Midwest Ohio hospitals. Inclusionary criteria for the study will be: (a) age at injury between 6.0 and 14.0 years, (b) evidence of some time period of loss of consciousness, (c) hospital records of a closed head injury, classified by the GCS and (d) medical documentation that provides information classifying TBI severity level.

An assessment of the level of consciousness (LOC) should be carried out during the primary survey of all patients, using the ABCDE approach Cole (2009: 28). Any initial or subsequent reduction in the LOC of the patient may be caused by hypoxia; hypovolaemia; head injury; drug or medicine use; hypoglycaemia; hypothermia or alcohol ingestion (Cole, 2009:44).

The ICP value is essentially determined and significantly influenced by volume equilibrium among the brain (1,100−1,300 cm3), CSF (130¬¬−150 cm3) and blood contained in intracranial vessels (60−80 cm3). Considering the fixed brain volume, the two most important determined factors of ICP are the nearly constant cerebral blood flow based on a wide range of the mean blood pressures .In addition, unbalance between the production of CSF in brain ventricles and its absorption into the dural venous sinuses leads to the abnormal ICP (Mokri 2001, Popovic et al.

The patient monitored for developing illness. During the first four weeks of the treatment , vital signs and symptoms have to be assessed at least on every alternate day. It is suggested that troponin and CRP be measured daily if there are abnormal symptoms like increased heart rate or raised

Idiopathic intracranial hypertension (IIH) is a disorder of unknown etiology that primarily affects young, obese women (1,5). In idiopathic intracranial hypertension (IIH) there is raised pressure within the skull (raised intracranial pressure), which puts pressure on the brain. Idiopathic means that the cause of this raised pressure is unknown. The main symptoms are headache and loss of sight (visual loss). It mostly affects women of childbearing age who are overweight or obese. Treatment is aimed at preventing permanent visual loss and includes treatment with medicines. Brain surgery (neurosurgery) may also be used. For many people, a combination of medical and surgical treatment can help to control their symptoms well. This disorder

Non-invasive devices to measure ICP would be of benefit to both space and earth applications of the device, on earth they would be advantageous for the continuous monitoring of patients suffering from hydrocephalus and Idiopathic intracranial hypertension(5), and can also used for those that are susceptible to bleeds and infections.

Your post was very interesting. Karen appears to showing late stages of ICP and this make me wonder how long it took for someone to realize she needed medical attentions. It was said that she is not expected to make it through the night meaning her prognosis is poor. At this point, I agree with the fact that is she does survive, she has suffered a severe brain injury and will never be the same person if not in a vegetative state. Along with the medications you explained, removing a piece of her skull seems to be a necessary intervention at this point. As her ICP continues to rise and significantly affect CPP, mediation may not be enough to return blow flow to the brain. As stated by Nakagawa (2011), a hemicraniotomy can reduce ICP and in some