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Impaired cerebral circulation - Coggle Diagram
Impaired cerebral circulation
Aneurysm
Defination
A balloning and weaked area in the artery
Clinical manifestation
Abdominal pain, flank pain, back pain
Hypotension
Diaphoresis
Oliguria
Loss of pulse distal to repture
Cool to cold skin
Pathophysiology :
Weakened media(middle) layer of artery
Stretched out intima(inner) and adventitious (outer) layers of artery wall
Increased tension in the wall of artery elevated Blood pressure
Aneurysm continues to widen and enlarge
Rapture of aneurysm
Massive hemorrhage shock
Nursing care plan
Anxiety
Relieve pain
Decreased cardiac output
Ineffective tissue perfusion
Deficit knowledge
Nursing Intervention
Teach the patient relaxation techniques such as guided imagery , deep breathing
Provide quiet environment that will reduce patient stress
Reduce unnecessary external stimuli
Provide knowledge about the condition of the patient
Assessment of the client hemodynamic status and monitor signs decrease in cardiac output such as tachycardia and decreased urine output
Monitor adequate tissue perfusion as evidence by strong palpable pulse and normal BP
Provide analgesia medication such as paracetamol to relieve pain
Celebral edema
Defination
It is a life threatening condition that causes fluid to develop in the brain
Clinical manifestation
Headache
Memory loss
Dizziness
Nausea
Difficulty sleeping
Numbness
Lack of coordination
Pathophysiology
There are several factors cause the brain swelling
Ischeamic stroke occurs when there's
A blood clot near the brain
Preventing the brain from receiving blood and oxygen
This causes brain cells to die and brain swell in response to injury
Nursing Care Plan
Ineffective gaseous exchange
Anxiety
Relieve pain
Isolation
Fluid imbalance
Seizure
Knowledge deficit
Nursing Intervention
Keep the patient head on bed elevated 30 of 45 degrees semi Fowler's position
Maintain normal body temperature to minimise metabolic demand and optimize cerebral flow
Decrease environment stimuli to minimise brain energy expenditure
Check fluid and electrolyte levels to help normal range electrolyte balance
Administer anticonvulsant drugs to control seizures
Administer analgesia medication to reduce pain
Help educate the patient about the condition to increase awareness