Nursing Care plan includes- Monitoring patient¬ís neurologic status, ICP and vital signs at least every hour. Notify physician for collaborative management or institute a protocol to respond to a sustained ICP greater than 20. Monitoring the patient¬ís temperature and maintain it within designated parameters, aggressively treat hyperthermia. Monitoring patient¬ís blood gases, collaborate with physician and respiratory therapist to resolve hypercarbia, hypocarbia, or hypoxia. Suction only after preoxygenating the patient and for less than 10 seconds at a time.