Mohamed Adel: The Warning Signs of Increased Intracranial Pressure
Mohamed Adel, Senior Nursing Student, shared a post on LinkedIn:
“Day 31 | Increased Intracranial Pressure (ICP)
A headache can be simple… but when intracranial pressure rises, every minute matters.
Today, I focused on Increased Intracranial Pressure (ICP) — a serious neurological condition that can compromise cerebral perfusion and lead to permanent brain injury if not recognized and managed early.
Key Signs and Symptoms:
- Decreased level of consciousness
- Headache, nausea and vomiting
- Pupillary changes
- Restlessness, confusion and seizures
- Abnormal posturing
Cushing’s Triad:
A late and concerning sign of increased ICP:
- Hypertension with widened pulse pressure
- Bradycardia
- Irregular respirations
Nursing Priorities:
- Frequent neurological assessment
- Maintain adequate oxygenation and ventilation
- Elevate the head of the bed when appropriate
- Keep the head and neck in neutral alignment
- Minimize unnecessary stimulation
- Monitor for signs of brain herniation
- Administer prescribed therapies such as mannitol or hypertonic saline
Clinical Pearl:
Increased ICP – decreased cerebral perfusion – increased risk of brain injury.
That’s why a small change in GCS, pupils, or neurological status should never be ignored.
Early recognition. Timely intervention. Better outcomes. –
Day 31/100 – Keep learning, keep growing.”

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