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Biren Magar
Asked: 2022-11-02T08:15:02+05:30 In:

The infant undergone for VP (ventriculo peritoneal) shunt surgical procedure. On the assessment how will you assess the sign of increased ICP ?
1. Respiration
2. Blood pressure
3. Anterior fontanel assessment
4. Urine output

The infant undergone for VP (ventriculo peritoneal) shunt surgical procedure. On the assessment how will you assess the sign of increased ICP ?
1. Respiration
2. Blood pressure
3. Anterior fontanel assessment
4. Urine output
Upsc
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1 Answer

  1. “Correct Answer – Option 3 : Anterior fontanel assessment

    CONCEPT: 

    • VP (ventriculoperitoneal) shunting is a surgical procedure for treating a medical condition called hydrocephalus, which occurs due to excessive fluid accumulation in the ventricles of the brain.
    • This fluid is called Cerebrospinal Fluid (CSF) and it is responsible for providing cushion to the brain and protecting from any internal injury to the skull. 
    • Intracranial pressure is the pressure exerted by fluids such as cerebrospinal fluid inside the skull and on the brain tissue. This pressure can prevent blood from flowing to your brain, which deprives it of the oxygen it needs to function. 

     

    EXPLANATION: 

    • In children with an open anterior fontanelle (AF), where the skull sutures have not yet fused, an abnormal increase in the head circumference and bulging of the fontanelle are good indicators of raised ICP.
    • In severely raised ICP, the sutures may often be separated and palpable.

    “

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