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학습 자료 둘러보기 →The highest priority is a focused neurological check every 15 minutes. The primary goal is early detection of increased intracranial pressure (ICP) and brainstem compression in the tight posterior fossa.
Assess level of consciousness as the earliest indicator of rising ICP. Include cranial nerve function, especially CN VII (facial) and CN VIII (vestibulocochlear), to identify new deficits from edema or hematoma.
Keep the patient flat or as prescribed; avoid semi-Fowler's position unless specifically ordered, as head elevation can increase tension on the dura and risk a CSF leak. Report any sudden change in consciousness or vital signs immediately.
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