Term
| whcih ahs higher mortality, intracerebral or subarachnoid bleed? |
|
Definition
|
|
Term
| clinical presentaiont of subarachnoid hemorrhage-3 |
|
Definition
worse headache
N/V
neuologicla changes |
|
|
Term
| subarachnoid bleed can be caused by-3 |
|
Definition
tramuatic
non tramuatic (spontaneous like ruptured aneurysm)
aneurysm developement |
|
|
Term
| risk factors for subarachnoid bleed-6 |
|
Definition
age
race (finl;and, japan, african)
family hisotry
smoking
HTN
excessive alchol |
|
|
Term
| look at slide 64 for the pathophys for subarachnoid bleed |
|
Definition
|
|
Term
secondary injusry cna be caused by?
the results-2 |
|
Definition
blood in subarachnoid space
vasopsams, delayed ischemia |
|
|
Term
| early complicaitons of subarachnoid bleed-2 |
|
Definition
|
|
Term
| delayed complicaitons of subarachnoid bleed-1 ; when does this nromally occur? |
|
Definition
vasospasm
5 days after event, but up to 3 wks |
|
|
Term
treatment for subarachnoid bleed is?
what is the goal for this |
|
Definition
prevent rebleed
SBP<160 while maintain CPP |
|
|
Term
what is the chemical treatment for the aneurysim?-2
what is the mechanical? |
|
Definition
aminocaproic or tranexamic acid
coiling/clipping 9do this as early as possible!) |
|
|
Term
| to prevent vasopasm use- 2 |
|
Definition
nimodipine PO 60 mg 6x a day x 21 days (start in 96 hrS)
euvolemia |
|
|
Term
|
Definition
|
|
Term
| what is reccomednaiton for seizure prophylaxis? |
|
Definition
|
|
Term
wrap up TBI:
life support-2 |
|
Definition
|
|
Term
|
Definition
sedation/analgesia
omsotics
nondrug therapy
barbs |
|
|
Term
wrap up TBI
supportive care-2 |
|
Definition
|
|
Term
wrap up ICH:
life support-3 |
|
Definition
airway
euvolemia
reverse clotting |
|
|
Term
|
Definition
specific targets
use agents not affecting ICP
in SAH, prevent vasopsams |
|
|
Term
|
Definition
|
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