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EXTRADURAL BLEEDING (PATHOPHYSIOLOGY (If the haemorrhage continues,, this…
EXTRADURAL BLEEDING
MANAGEMENT
Craniestomy
Ventriculostomy
Craniotomy
CAUSES
Bleeding disorders
Blod vessel malformations
Head injury
PATHOPHYSIOLOGY
If the haemorrhage continues,
this leads to the "lemon" shaped bleed
The pressure inside the cranium also increases
It begins to strip the outer layer of meninges
This causes brain displacement and tentorial herniation
As he volume of flood leaking increases
DIAGNOSTIC PROCEDURES
Blood tests
CT Scan
X-Ray
MRI Scan
DEFINITION
Bleeding that occurs between dura mater & the skull
NURSING INTERVENTIONS
Observe signs of increasing ICP
Asses for pain
Monitor vital signs & Intake and output
Administer I.V fluids to maintain hydration
Assess neurological and respiratory status
Provide suctioning
CLINICAL MANIFESTATIONS
Sevete headache
Tonsillar herniaton
Lucid period
Respiratory arrest
PHARMACOLOGICAL
MANAGEMENT
Lidocin
Phenytoin
Codeine phosphate
Dopamine