EP 6 - Hydrocephalus

Hydrocephalus occurs when cerebrospinal fluid (CSF) accumulates in the brain, increasing intracranial pressure and causing serious complications. But what causes this buildup, and how do we treat it? In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, unpacks the pathophysiology of hydrocephalus, the differences between communicating and non-communicating hydrocephalus, and the role of external ventricular drains (EVDs) and ventriculoperitoneal (VP) shunts in managing this condition. 

Learn how to recognize the signs of increased intracranial pressure, understand the importance of EVD safety, and explore a real pediatric case study highlighting the transition from an EVD to a VP shunt. Plus, Morgan walks through a test question to reinforce key clinical concepts and nursing interventions. 

Topics discussed in this episode:

• The role of cerebrospinal fluid (CSF) and why hydrocephalus develops
• The Monroe-Kellie Doctrine and how increased CSF affects the brain
• Communicating vs. non-communicating hydrocephalus
• A real pediatric case of hydrocephalus caused by a brain tumor
• How external ventricular drains (EVDs) manage CSF buildup
• When and why a VP shunt is needed for long-term treatment
• Critical nursing considerations: EVD safety, clamping, and ICP monitoring
• Breaking down a test question on hydrocephalus management

This episode is packed with high-yield nursing knowledge to help you understand hydrocephalus from both a clinical and NCLEX perspective. Tune in now!

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