Intracranial hypertension in patients with clinical observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 8 Intracranial hypertension in patients with clinical observation and nursing care [Keywords:] Observation of nursing increased intracranial pressure Intracranial hypertension is a common neurosurgical clinical and pathological syndrome. Caused by increased intracranial pressure due to various reasons the contents of the plot led to the cranial cavity due to decompensation. Adult intracranial pressure of more than 200mmH2O, namely, increased intracranial pressure. Headache, jet-like vomiting and papilledema is intracranial hypertension typical expression of the three. A close observation of changes in condition Need to closely observe the condition, care and focus on all the measures adopted to enable the state to partial remission of intracranial hypertension at the same time to prevent a sudden increased intracranial pressure leading to brain herniation occurred abnormal given prompt treatment. Observation time can be according to the disease every 15 to 60 minutes once a stable can be properly extended. 1.1 Observation of consciousness is the human state of consciousness in patients with life activities in the external appearance can reflect the structure of the cerebral cortex and brain stem function state. Disturbance of consciousness can be manifested as drowsiness, hazy, semi-coma and coma four kinds of status, presence or absence of disturbance of consciousness, depth, degree, duration and period of the analysis of the evolution of an important indicator of severity. Nurses must identify the patient’s consciousness will be vague (including lethargy and hazy), semi-coma and coma. Observe the patient’s face and posture, and through language stimulation, that is, patients wake up from time to time to make a simple dialogue, such as no response a further with the pain stimulation, that is oppression supraorbital nerve, or acupuncture, or by hand-kneading the lateral margin of pectoralis major and other methods. You should carefully