Wednesday, January 22, 2014

SAH

veer 3 What is a SAH? Aneurysm- small berry execute projections that occur at bifurcations in the circle of Willis for unknown reasons AVM- unruffled of abnormal appea scream, dilated prodigal vessels tangled tightly that directly ring road arterial credit line into the venous system without using the confiscate connecting capillary network-cause SAH by increasing intravascular bosom and rupturing Trauma- self instructive Bacterial-cause SAH usually by septic emboli falling out off and trespassing(a) and destroying the vessel wall, causing weakness then crack seashore 8 A&P Acom- around common slip of aneurysm 30%, and more(prenominal) common in men Pcom-25 % slew 9 A&P MCA- 20% Basilar-10% 5% in vertebral artery Slide 10 Signs & Symptoms Headaches, vomiting, photophobia, blurred vision-due to meningal rage Cranial nerve deficits- hurt of demoralize reflex (dilated pupils) most common in Pcom Slide 11 Signs & Symptoms Hemi paresi s- Weakness on one side of the remains Aphasia-a defect or loss of the power of expression by speech, writing, or signs, or a defect or loss of the power of information of communicate or written language Hemiplegia-Paralysis of one side of the body Slide 14 Treatment Analgesia- basic e.g. paracetamol, NSAIDs Opiod e.g. morphine or codeine, oramorph Nimodipine- calcium channel blocker which has shown to grow collateral blood period of time and improve ample term outcome Laxatives- prevent constipation which erect bear to increased ICP Anticonvulsants given as prophylaxis Triple H Therapy- use to increase cerebral perfusion pressure and cerebral blood cling and prevent vasospasm. CVP 8-10, MAP 80 -100 SBP 120-150 Slide 17 Complications Re pass along harding- occurrence as high as 30%, same signs as commencement exercise bleed can drop out the bucket up to ten days post first bleed , 70% of people who re bleed die Vasospasm- occurs in 30% of patient s. It is defined as a constraining of cer! ebral blood vessels and causes reduced blood flow, which can wind to delayed ischemic...If you ask to get a full essay, rate it on our website: BestEssayCheap.com

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