NTI Recorded Session NTI25398

Balancing the Big Brain: Cerebral Perfusion and Hemodynamics in the ICU

Author(s): Henry Shieh; Sarah L Livesay, DNP, APRN, FNCS, FAAN

Contact Hours 1.00

CERP A 1.00

Pharmacology Hours 0.25

Expires Dec 31, 2027

Topics: Neurology, Pharmacology

Population: Adult

Role: APRN, Staff

Start Activity
Fees
Member: Free
NonMember: $10.00
Get CE

Added to Collection

Activity Summary

This session begins with discussion of the terminology of intracranial hypertension, cerebral perfusion pressure, autoregulation and compliance shift. Secondly, this session uses a case-based approach to examine the management of shock states in the setting of brain injury and a review of inotropes’ and vasopressors' impact on CPP regulation to maximize cerebral blood flow. Lastly, this session also discusses the appropriate measurement of blood pressure and ICP in a patient with severe brain injury, answering the age-old question: Where should I level my transducer when measuring ICP/CPP? Pharmacology content = 25%

Objectives

  • Define the concepts of cerebral autoregulation and dysautoregulation, cerebral perfusion pressure and intracranial pressure.
  • Review vasopressors and inotrope effects on cerebral blood flow and oxygenation to ensure proper medication choice.
  • Use case studies in traumatic brain injury, stroke and subarachnoid hemorrhage to apply concepts of hemodynamic management.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.