Question

If it is a hemorrhagic CVA from an aneurysm, what is the nursing care for this?

If it is a hemorrhagic CVA from an aneurysm, what is the nursing care for this?

Homework Answers

Answer #1

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
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