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Digital Seminar

Increased Intracranial Pressure: Diagnosing & Management Tips and Tricks

Filissa Caserta, MSN, ACNP-BC, CNRN
1 Hour 59 Minutes
Audio and Video
Nov 09, 2022
Product Code:
Media Type:
Digital Seminar


Neurologic deterioration in a patient can occur rapidly and have devastating consequences. Accordingly, early identification of increased intracranial pressure (ICP) along with swift initiation of lifesaving interventions is critical. The purpose of this session is to provide a framework for identifying the sometimes subtle early signs of increased ICP and understanding the interventions that must follow to prevent herniation and patient death. This will be achieved by providing easy-to-understand intra cranial dynamics, reviewing the patients at highest risk for developing increased ICP and discussing the evidence-based interventions for prevention and treatment of increased ICP.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see below.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 1.75 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Nurses, Nurse Practitioners, and Clinical Nurse Specialists

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.75 contact hours. Expires: 10/13/2025.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.5 self-study contact hours.

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Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.75 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 1.5 hours for completing this self-study program. This activity was originally recorded on 11/09/2022. It was last reviewed on 10/22/2022 and is valid until 10/22/2025


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.

Other Professions

This self-study activity qualifies for 1.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Filissa Caserta, MSN, ACNP-BC, CNRN's Profile

Filissa Caserta, MSN, ACNP-BC, CNRN Related seminars and products

Filissa M Caserta, MSN, ACNP-BC, CNRN, is certified as an Acute Care Nurse Practitioner and Neuroscience Registered Nurse who works in endovascular neurosurgery at The Johns Hopkins Hospital in Baltimore, MD. She has worked in the field of neurosciences, specifically neuro-critical care and endovascular neurosurgery in various capacities for most of her 34-year nursing career. In addition to her role as a Nurse Practitioner, Filissa has held positions as nurse manager, adjunct faculty at The Johns Hopkins University School of Nursing, and program director for nursing practice.

She instituted the Acute Care Nurse Practitioner Program for The Johns Hopkins Hospital Neuroscience Critical Care Unit. Filissa has contributed to a wide variety of academic publications on neurocritical care and advanced practice nursing. She has shared her specialty expertise through national and international lectures.

Speaker Disclosures:
Financial: Filissa Caserta has an employment relationship with the Johns Hopkins Hospital. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-Financial: Filissa Caserta is a member of the American Association of Neuroscience Nurses (AANN) and the American Association of Critical Care Nurses (AACN).

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Distinguish the main components of the cranial vault.
  2. Analyze the Monro-Kellie hypothesis, compliance and compensation.
  3. Evaluate the neuroscience patient populations at highest risk of increased intracranial pressure.
  4. Differentiate between early and late physiologic signs of increased ICP.
  5. Analyze at least 3 interventions to manage increased ICP.


  • Quick Neuro Anatomy and Assessment
    • Cerebral cortex, cerebellum and brainstem
    • “A Walk Around the Brain” - LOC, motor, speech, cranial nerves, unconscious patient
  • Cranial Vault
    • Components
    • Monro-Kellie hypothesis/Doctrine
    • Cerebral blood flow
    • Intracranial compliance
  • Intra-Cranial Dynamics
    • Compliance
    • Compensation
  • Increased ICP
    • Pathophysiology
    • High risk patient populations
    • Clinical presentation
    • Diagnostic tests
    • Herniation
  • Management of Increased ICP
    • Osmotic therapy
    • Managing metabolic demand
    • Hyperventilation
    • Promoting venous outflow
    • Extra ventricular drainage
    • BP management
    • Decompressive hemicraniectomy

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants


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