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Concept Analysis Diagram - Intracranial Regulation Nursing Care Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome. Attributes Defining characteristics of the concept What property, quality, or data must be present for the concept to exist Antecedents What precedes the concept for it to exist Events or incidents that must happen before the concept Consequences Untoward events or outcomes that occur due to malfunction within the concept Positive events or outcomes that occur due to proper functioning within the concept Interrelated Concept Concepts which can affect change in the other Concepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the other Sub-Concept Critical components of major concept Attributes Nursing Care Primary, Secondary, Tertiary Age Appropriate Response to Stimuli Glasgow Coma Scale 15 Cranial Nerves I-XII Intact Intracranial Pressure 10-15 mm Hg Cerebral Perfusion Pressure 60-70 mm Hg Mean Arterial Pressure >70 < 170 mm Hg Euglycemic Sensory Perception Cognition Mobility Interrelated Concepts Gas Exchange Perfusion Intracranial Regulation Antecedents Adequate Function of Neurons and Neurotransmitters Adequate Perfusion of Blood, Oxygen, and Glucose Adequate Autoregulation Functional Ability The processes that affect intracranial compensation and adaptive neurological function. Consequences (Outcomes) Positive Sub -Concepts Blood Brain Barrier Increased Intracranial Pressure Age Appropriate Cognitive Ability Cerebrospinal Fluid Production © 2015, Texas CBC Consortium. All Rights Reserved Cerebral Edema Age Appropriate Mobility Cranial Nerve Function Autoregulation Negative Level of Consciousness Age Appropriate Response to Environment Revised 6.15 Brain Tumors/Space Occupying Lesions Concept Analysis Diagram - Intracranial Regulation Explanation of Intracranial Regulation Diagram: The brain is a complex organ that controls many functions of the body. The brain receives and interprets stimuli from both internal and external sources. Intracranial regulation includes normal and abnormal processes of cranial function. This process includes the brain and the central nervous system. In order for intracranial compensation and adaptive neurological function to occur, there must be adequate functioning of neurons and neurotransmitters. There must be adequate perfusion of blood, oxygen and glucose. Cerebral perfusion should be within the normal pressure of 10-15 mm Hg. and cerebral perfusion pressure of 60-70 mm Hg which requires a mean arterial pressure of greater than 70 but less than 170 mm Hg. Intracranial regulation is interrelated with concepts of cognitive function, gas exchange, mobility and perfusion. The nurse should recognize behaviors that indicate age appropriate cognitive ability. Negative consequences of intracranial regulation may include cerebral edema, increased intracranial pressure, and brain tumors. © 2015, Texas CBC Consortium. All Rights Reserved Revised 6.15