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SUBARACHNOID HAEMORRHAGE (CLINICAL MANIFESTATIONS (Confusion, Irritability…
SUBARACHNOID HAEMORRHAGE
CAUSES
Blood thinners
Bleeding disorders
Head injury
Bleeding from an Arteriovenous malformations (AVM)
NURSING INTERVENTIONS
Monitor level of conciousness
Administer analgesia for pain
Maintain strict bed rest
Monitor Fluids and electrolytes
Blood pressure must be monitored frequently
PATHOPHYSIOLOGY
Brain oedema is maximal risk of vasospasm
This may lead to hydrocephalus or Second rupture
vasospasm may cause focal brain ischemia
Blood is released into the subarachnoid space
CLINICAL MANIFESTATIONS
Confusion
Irritability
Seizures
Double vision
Shoulder pain
Nausea
Neck pain
PHARMACOLOGICAL MANAGEMENT
Lyklokapron
Methtergine
Amicar
Ferrie susubsulfate
DEFINITION
Bleeding within the subarachnoid space
MANAGEMENT
Infusion of prothrombin complex concentrate
Craniectomy
Craniotomy
DIAGNOSTIC PROCEDURES
Lumbar puncture
MRI scan
Cerebral angiography