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Brain haemorrhage (Nursing intervention (Assess the level of consciousness…
Brain haemorrhage
Nursing intervention
Assess the level of consciousness through GCS and promptly detect the appearance of new neurological signs.
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Incase of psychomotor agitation, reassure the patient and inform the Doctor.
Ensure airway patency, keep the patients head in a slightly raised position, monitor oxygen saturation.
In case of respiratory depression, position the Guedel cannula, ventilated the patient with a mask and assist the resuscitator in endotracheal intubation maneuvers, if the respiratory autonomy fails.
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Position a venous cartherter allowing solution infusion and intravenous therapy. The correct dressing of the catheter insertion will prevent infections.
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Keep a daily hydroelectrolyte balance, taking care to monitor hourly Diuretics and detect any episodes of polyuria and oliguria .
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Assume correct postures with particular attention to any poetic limbs, the decubitus should be alternated with frequency and permanence on the hemaplegic side must be shorter than that of the healthy side.
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Clinical manifestations
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Light headedness, dizziness or fainting can result from any source of internal bleeding once enough blood is lost.
A large area of deeply purple skin (ecchymosis) can result from bleeding into the skin and soft tissues.
Swelling, tightness, and pain in the leg can result from an internal bleeding in the thigh.
Headache, seizures and loss of consciousness shouldbe the result of internal bleeding.
Risk factors
Use of blood thinner medications such as aspirin, plavix, warfarin, rivaroxaban, apixaban and pradaxa.
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Inherited conditions that interfere with blood clotting ability such as Von Willebrand's disease or hemophilia.
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Definition
Is a type of intacranial bleed that occurs within the brain tissue or ventricles. It is also known as cerebral bleed.
Pathophysiology
Blood from an intacerebral haemorrhage accumulates as a mass that can dissect through and compress adjacent brain tissues, causing neuronal dysfunction. If the hemorrhage ruptures into the ventricular system blood may cause acute hydrocephalus.