Mannitol for sure, as well as Nimodipine, are both important drugs to know in neuro.
Nimodpine is used to increase blood flow to the brain. It’s a medication that is given orally or through an NG tube, but never pushed IV.
It’s very dangerous to push it and it can cause cardiac arrest if pushed IV.
Mannitol is basically salt and remember that water always follows salt so when given to a patient who has, for example, had a cerebral hemorrhage it’s important to keep the swelling in the brain down, so that is why we use mannitol. it helps to pull the fluid away from the brain when there is damage. It helps increase blood flow to injured brain tissue.
Care should also be taken with Hypertensive drugs. Brain bleeds are often caused by HTN but it’s important to still keep blood circulating and perfusing in the brain, so you still want there to be some decent pressure there. Overuse of hypertensives can be problematic because of this.
NimodipineNuvigil is useful for patients who have had a CVA and are malaised and lethargic. –
For edematous brain tissue we often give 3% sodium chloride solution- monitoring sodium levels is important when using this.
Mannitol, continue to monitor Serum Osmolality with this medication
Diprivan – It depends on your state as to whether you can give this drug as an RN. Check with yours to see. In some states only anestheiologists and CRNAs gave give it