A 55-year-old man on ICU with severe traumatic brain injury has an ICP of 30 mmHg. First-tier measures (sedation, head elevation 30°, normothermia, no...

Question

A 55-year-old man on ICU with severe traumatic brain injury has an ICP of 30 mmHg. First-tier measures (sedation, head elevation 30°, normothermia, normocarbia) have been implemented. The team considers osmotherapy. What is the recommended dose and route of hypertonic saline for acute ICP reduction?

Accepted Answer

3% NaCl 150 mL IV bolus over 20 minutes

Answer

0.9% NaCl 1 litre over 1 hour

Answer

23.4% NaCl 30 mL via a peripheral IV line

Answer

Oral sodium chloride tablets 2 g TDS

Answer

5% dextrose 500 mL IV

uk-fficm MCQ (SBA): Traumatic Brain Injury