FAQ - vasospasm, intracranial
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What is the best care plan for someone recovering from an intracranial bleed?

the person has had two intracranial bleeds not caused by cva, tia, or aneurysym. they have hypertension, are bed ridden, and already have skin breakdown

lower the BP. elevate the head at least 30 degrees. consistent bed-turning schedule to relieve sacral ulcers...apply antibiotics and wash with daikin's solution of course.
lower the temperature to 35-36 degress  (+ info)

What causes the coronary arteries to undergo vasospasm?

Something to do with the formation of a micro thrombis and vasoconstriction?
So is vasospasm just short term or can it happen over a longer period of time, for example, due to an obstruction such as a thrombus?

Spasm is a basic property of the smooth muscle in the walls of the artery. Some individuals have a tendency for vasospasm. It is not definitely linked to micro thrombi. Spasm can occur in the smooth muscle adjacent to a plaque as well as in a healthy region.  (+ info)

Does intracranial pressure die down after awhile, or do they have to operate?

Does intracranial pressure die down after awhile, or do they have to operate?
It does not appear to be getting any worse or better after three weeks. Aged 55. Result of a head injury. England 2007 NHS.

generally they can give some medications but they may need to put in burr holes
it depends on what the pressure is resulting from-
if it is blood within there then they can evacuate it sometimes but other times they cant- sometimes it just has to resolve on its own (much like a bruise)  (+ info)

What are the symptoms of mild to moderately increased intracranial pressure?

My 9 year old daughter has a ventriculo-peritoneal shunt in place and I suspect a transient malfunction, based on her symptoms.

headache, nausea, vomiting, altered level of consciousness, changes in vision, pupil dysfunction. if she has any of these symptoms, get her to the ER immediately, as this is a acute emergency.  (+ info)

How soon after and intracranial hemmorage can you start DVT prophylaxis (heparin)?

your doc should have told you, but I am sure it is immediately  (+ info)

Gary Coleman died of an intracranial hemmorhage. Did his kidneys have anything to do with it?

I'm thinking this could show up on a path exam. Could his kidney problem have anything to do with the bleeding?

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Has anyone with a pseudotumor/intracranial hypertension had vision problems?

I am having vision problems in one of my eyes. The vision is almost completely gone. Has anyone had these problems? Has it gotten better? Have they stayed blind?

You may please consult your neurosurgeon urgently for all necessary investigations and advice please. Very important.  (+ info)

How do you feel after Intracranial pressure measuring?

I have to have it done in January, I know the procedure. What I want to know is, how will i feel? Will I feel it in my head, will i be able to take my normal pain meds, on ward or ICU? please help, i'm terrified.

As a rule, the procedure to place the catheter is done with you under a general anesthetic. They can do it using a local anesthetic, but most prefer not to because the sound and sensation of the drill is not really that pleasant for the patient. Either way, you won't feel anything. If you have the general anesthetic, the worst of that is the poke to place the IV. If you have a local, again, the worst part is the prick of the needle used to deaden the skin. Nothing else except your scalp has any feeling, so you don't need high powered pain relief. You will wake up in intensive care, most likely. Most folks aren't in a lot of pain, so they get something like Tylenol. You won't get or need high powered pain relievers, because those can affect the pressure and interfere with their ability to monitor your neurological status. You won't be allowed to take anything else, no. Before you have the procedure done, the surgeon and anesthesiologist should be talking with you and going over the whole procedure with you. If you are an adult, you will have to sign the consent forms, and if you are a minor one of your parents will do the signing. But since you are obviously old enough to have some intelligent input, they will talk to you and explain things as well. That's the time to ask all your questions. If you need to, make a list of them and go over each one to get the answer you need. Nobody should mind at all. As procedures go, it's not that bad really. And considering you must have some kind of problem that is causing you headaches or other problems, and routinely take pain medications, it won't be anything comparible to what pain you already have experienced. It's more scary because they are after all going to mess with the insides of your head. That's enough to make anyone a bit buggy. But fortunately, the brain itself, and the skull don't have any sort of feeling at all- it's all in your scalp. And scalps don't feel a whole lot of pain either, otherwise we'd never be able to stand washing, combing or brushing our hair. If you've had a shot before, that's about what the prick of the needle is like. And before they start the IV, a lot of places will use a bit of lidocaine to numb things- another little stick for that, but afterwards you feel nothing. And once it's all done and the monitor is in place, you shouldn't have much discomfort at all. Oh- be prepared for a small bald spot at the site of the incision. They will have to shave a patch. On girls they generally try to keep that as small as they can, so you can camoflauge it afterwards. But yeah- it's still a bare spot. Otherwise, I wish you luck in the procedure and that they can fix you up afterwards. Try to relax as much as you can, and not dread it too much. Honestly, it sounds a lot worse than it is.  (+ info)

if a patient has brain tumor, and has increased intracranial pressure, what should you assess the most?

For example, you are to assess a client with brain tumor and increased intracranial pressure, as a nurse, where should you focus during assessment? where and what assessment procedure would you perform?

The patients probably going ot need an Inter-cranial Pressure Monitor put in place as well as drugs to deal with the brain swelling.  (+ info)

can a child more than 6 months old sustain an intracranial hemorrhage?

please help! i am doing a mock trial thing and i really need the answer to this question to do my witness statement! thanks!

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