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학습 자료 둘러보기 →The priority for a child with Rocky Mountain spotted fever is monitoring for increased intracranial pressure. The underlying bacterial vasculitis can rapidly cause cerebral edema and meningoencephalitis, which are the most immediate life-threatening complications.
Assess neurological status at least every 2 hours. Watch for signs of increased ICP: altered level of consciousness, severe headache, vomiting, Cushing's triad (bradycardia, hypertension, irregular respirations), and pupillary changes.
Do not delay neurological checks for comfort measures like fever reduction. A sudden change in mental status or onset of seizures requires immediate escalation to prevent irreversible brain injury.
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