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What is All of the following are used to decrease intracranial pressure, Except : and explain in detail?
Answer is A (Furosemide): Although all of the following agents may well be used to decrease intracranial pressure fUrosemide is the answer of exclusion, as Harrisons text mentions all agents except, jitrosemide in the stepwise approach to treatment of elevated Intracranial pressure. Stepwise approach to treatment of elevated intracranial pressure Drain CSF ventriculostomy. Elevate head of bed. Osmotherapy with mannitol. Glucocoicoids (avoid glucocoicoids in head trauma, ischaemic and hemorrhagic stroke). Sedation (e.g. morphine, propofol or midazolam). Hyperventilation Pressor therapy (phenylephrine, dopamine or norepinephrine to maintain adequate mean aerial pressure). Consider second tier therapies for refractory elevated ICP. High dose barbiturate Aggressive hyperventilation Hemicraniotomy