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Suggest The Treatment For Intercranial Bleed?

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Posted on Thu, 7 Nov 2013
Question: admitting dx is intercranial bleed need nursing diagnosis,and priority assessment and intervention my patient's 71yrsd female .
thank you
doctor
Answered by Dr. Sudhir Kumar (45 minutes later)
Brief Answer:
My reply is below

Detailed Answer:
Thank you for posting your query.

Nursing diagnosis: Intracranial hemorrhage (brain hemorrhage)

Priority assessment would include:

Assessment of consciousness- Glasgow coma scale (GCS)
Blood pressure, pulse rate, respiratory rate,
Temperature
Assessment of swallowing- by doing swallow test
Assessment of motor power (of limbs)

Interventions may include:

1. Change of patient position every two hours,
2. Placement of Ryle's (nasogastric tube) if swallowing is inadequate
3. Feeding through the Ryle's tube,
4. Administering BP and other medications,
5. Assisting in physiotherapy,
6. Deep vein thrombosis (DVT) prophylaxis by using stockings, mechanical compression, etc
7. Psychological support to patient and family


I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suggest The Treatment For Intercranial Bleed?

Brief Answer:
My reply is below

Detailed Answer:
Thank you for posting your query.

Nursing diagnosis: Intracranial hemorrhage (brain hemorrhage)

Priority assessment would include:

Assessment of consciousness- Glasgow coma scale (GCS)
Blood pressure, pulse rate, respiratory rate,
Temperature
Assessment of swallowing- by doing swallow test
Assessment of motor power (of limbs)

Interventions may include:

1. Change of patient position every two hours,
2. Placement of Ryle's (nasogastric tube) if swallowing is inadequate
3. Feeding through the Ryle's tube,
4. Administering BP and other medications,
5. Assisting in physiotherapy,
6. Deep vein thrombosis (DVT) prophylaxis by using stockings, mechanical compression, etc
7. Psychological support to patient and family


I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in