Advanced Oncology Certified Nurse Practitioner (AOCNP) Certification Practice Test

What medication class is given for the management of increased intracranial pressure (ICP)?

1. Diuretics

2. Corticosteroids

3. Beta-blockers

4. Antihypertensives

The correct answer is: Corticosteroids

The medication class that is commonly given for the management of increased intracranial pressure (ICP) is corticosteroids. Corticosteroids, such as dexamethasone, are used in clinical practice to reduce cerebral edema and inflammation, which can help decrease ICP. They work by inhibiting the inflammatory response and can be particularly beneficial in conditions such as brain tumors or after traumatic brain injury, where swelling can contribute to elevated ICP. Corticosteroids help stabilize the blood-brain barrier, reducing the permeability of the vascular system in the brain and minimizing further edema. This therapeutic effect can lead to better outcomes in patient management by helping control ICP levels, which is critical in preventing secondary brain injuries. While diuretics, particularly osmotic agents like mannitol, are also used to manage ICP by drawing fluid out of the brain, the question specifically pertains to the most commonly recognized class for this purpose in a broader context. Additionally, beta-blockers and antihypertensives are not typically used to directly manage elevated ICP; instead, their roles focus primarily on blood pressure and cardiovascular stabilization rather than direct intervention on intracranial pressure.