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Multiple Choice

Which of the following should not be given to a patient presenting with Cushing's triad?

Cushing's triad signals rising intracranial pressure and risk of brain herniation, so the goal is to lower ICP while preserving cerebral perfusion. Hypertonic saline and mannitol act as osmotic agents that reduce brain edema and ICP, which helps relieve pressure quickly. Elevating the head of the bed optimizes venous drainage from the brain and further decreases ICP. In contrast, vasodilators would widen cerebral vessels, increasing cerebral blood volume and ICP—worsening the situation and risking herniation—so they are not appropriate in this scenario.

Cushing's triad signals rising intracranial pressure and risk of brain herniation, so the goal is to lower ICP while preserving cerebral perfusion. Hypertonic saline and mannitol act as osmotic agents that reduce brain edema and ICP, which helps relieve pressure quickly. Elevating the head of the bed optimizes venous drainage from the brain and further decreases ICP. In contrast, vasodilators would widen cerebral vessels, increasing cerebral blood volume and ICP—worsening the situation and risking herniation—so they are not appropriate in this scenario.