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Suggest the treatment for intercranial bleed?

Nov 2013
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Answered by

Practicing since : 1994
Answered : 5569 Questions
admitting dx is intercranial bleed need nursing diagnosis,and priority assessment and intervention my patient's 71yrsd female .
thank you
Posted Tue, 5 Nov 2013 in Brain and Spine
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,
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
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