Nursing spontaneous subarachnoid hemorrhage.doc

Nursing spontaneous subarachnoid hemorrhage Keywords:: Inferior vena hemorrhage Spontaneous (ie non-traumatic) subarachnoid hemorrhage (SAH) is due to surface or substance of the brain lesions occur in blood vessels, rupture of blood into the subarachnoid space Er Shi [1]. The most common diseases due to intracranial aneurysm, cerebral vascular malformation. Clinical manifestations of rapid-onset severe headache, nausea, vomiting, disturbance of consciousness, and meningeal irritation. Patients often due to heavy bleeding, rebleeding and concurrent vascular spasm of death, acute care and do a good job to stop bleeding or reduce the recurrence of the ease of vasospasm and improve the prognosis of very important significance. Since 2004, our department treated a total of 28 patients with spontaneous subarachnoid hemorrhage, through the implementation of the diet of patient care, psychological counseling, strict observation of signs of illness and life changes in care, the patient does not happen again, hemorrhage, and both were satisfied with treatment effects of hospital, nursing experience reported as follows. A clinical data December 2004 ~ October 2006 were treated 28 cases of subarachnoid hemorrhage patients were diagnosed by head CT, including 19 males and 9 females, aged 28 to 61 years old, with an average age of 48 years old. During hospitalization for patients with mannitol and furosemide reducing the intracranial pressure such as dehydration treatment, and to give effect to stop bleeding with anti-fibrinolytic drugs 6 - aminocaproic acid to reduce the rate of re-bleeding, intravenous nimodipine in the treatment [2] prevention and treatment of cerebral vasospasm after SAH occurred. 2 Care 2.1 Food Care subarachnoid hemorrhage patients had absolute bed rest, slow peristalsis, poor appetite, giving Eat small meals often, providing high-calorie, high vitamin, high-quality protein, light, easy to digest food and to inform patients eat vegetables with coar