Hypoxia-induced cerebral edema after a near-drowning incident can be managed by administering
osmotic diuretics like mannitol. These medications help reduce intracranial pressure by drawing fluid
out of the brain tissue and into the bloodstream, thereby alleviating cerebral edema. Maintaining a
MAP of 60-70 mm Hg may not be sufficient to address the elevated intracranial pressure, keeping the
patient flat could worsen cerebral edema, and hyperventilation with a PaCO2 of 40-45 mm Hg is not
typically recommended for managing increased intracranial pressure as it can lead to
vasoconstriction and decreased cerebral perfusion. Reference: = CCRN Exam Handbook, AACN Adult
CCRN Certification Review Course
