1) ans) aneurysms appear as a bulge and can look like
a berry hanging on a stem,This is a blood vessel ballooning with
blood because the vein is blocked or obstructed higher up. If this
bulge bursts, blood enters and damages the brain. When this
happens, it is referred to as a hemorrhagic stroke.
- Asess the patient and Monitor closely for neurologic
deterioration, and maintain a neurologic flow record.
- Vitals plays major rule to check blood pressure, pulse, level
of consciousness, pupillary responses, and motor function hourly;
monitor respiratory status and report changes immediately.
- Immediate and absolute bed rest in a quiet, nonstressful
setting; restrict visitors, except for family.
- Elevate the head of bed 15 to 30 degrees or as ordered.
- Avoid any activity that suddenly increases blood pressure or
obstructs venous return
- Instruct patient to exhale during voiding or defecation to
decrease strain, eliminate caffeine, administer all personal care,
and minimize external stimuli.
- Apply antiembolism stockings or sequential compression
devices.
- Observe legs for signs and symptoms of deep vein thrombosis
tenderness, redness, swelling, warmth, and edema.
- Keep sensory stimulation to a minimum.
- Explain restrictions to help reduce patient’s sense of
isolation.
- Relieving Anxiety Inform patient of plan of care.
- Provide support and appropriate reassurance to patient and
family.
- Nurses noted that the patient’s neurosurgeon was often too busy
to talk with the family, leaving nurses as the link between the
neurosurgeon’s plan and the family’s expectations.
- A lot of teaching, a lot of teaching, just helping them know
what to expect. For the patient not so much, because really a lot
of times they don’t know what’s going on anyway.
- Teaching and just reassurance and talking to them because the
doctors don’t really talk to them unless they really have to