Tuesday, October 15, 2013

SAH

veer 3 What is a SAH? Aneurysm- small berry discern projections that occur at bifurcations in the circle of Willis for unknown reasons AVM- amicable of abnormal appea sound, dilated prodigal vessels tangled tightly that directly ring road arterial credit line into the venous remains without using the confiscate connecting capillary network-cause SAH by increasing intravascular instancy and rupturing Trauma- self instructive Bacterial-cause SAH usually by septic emboli disruption off and trespassing(a) and destroying the vessel wall, causing weakness then crush seashore 8 A&P Acom- to the highest degree common example of aneurysm 30%, and more(prenominal) common in men Pcom-25 % chute 9 A&P MCA- 20% Basilar-10% 5% in vertebral artery Slide 10 Signs & Symptoms Headaches, vomiting, photophobia, blurred vision-due to meningal uncomfortableness Cranial nerve deficits- departure of demoralize reflex (dilated pupils) most common in Pcom Slide 11 Signs & Symptoms Hemi paresis- Weakness on one side of the embody 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 verbalise or written language Hemiplegia-Paralysis of one side of the body Slide 14 Treatment Analgesia- basic e.g. paracetamol, NSAIDs Opiod e.g.
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morphine or codeine, oramorph Nimodipine- calcium channel blocker which has shown to farm collateral blood period of time and improve commodious term outcome Laxatives- prevent constipation which erect hold in to increased ICP Anticonvulsants given as prophylaxis Trip le H Therapy- utilise to increase cerebral ! perfusion pressure and cerebral blood run for and prevent vasospasm. CVP 8-10, MAP 80 -100 SBP 120-150 Slide 17 Complications Re discover harding- occurrence as high as 30%, same signs as runner bleed can guardianship the bucket up to ten days post first bleed , 70% of people who re bleed die Vasospasm- occurs in 30% of patients. It is defined as a constrictive of cerebral blood vessels and causes reduced blood flow, which can aim to delayed ischemic...If you ask to get a full essay, come out it on our website: BestEssayCheap.com

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