*NURSING > STUDY GUIDE > Intracerebral Hemorrhage.pptx[ full printed document]A+ GRADED (All)

Intracerebral Hemorrhage.pptx[ full printed document]A+ GRADED

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Intracranial Hemorrhage • Jordan Yakoby, Ph.D, DNP, RN, CCRN, ANVP, ACNP-BC Intracranial Hemorrhage • In this discussion, we will limit our discussion to parenchymal hemorrhage. Subarachnoid h ... emorrhage, aneurysm, AVM, and traumatic ICH such as subdural, epidural, and contusions/TBI will be discussed at a later date Intracranial Hemorrhage • Pathophysiology of Intracranial Hemorrhage (ICH) • Deleterious effect of uncontrolled HTN on ‘perforators’ ie lenticulostriate, thalamoperforators, etc etc • Basal ganglia, thalami, cerebellum, brainstem • Less common (but not necessarily rare) and ‘exotic’ causes of ICH • Anticoagulation incl. NOACs • Cocaine • Hematologic dz, cirrhosis • CAA – one of the most common causes of ICH in the elderly • Tumor! ICH • Sequelae of ICH and management • Hydrocephalus • Cerebral edema • Role for steroids here? • Herniation • Paroxysmal sympathetic hyperactivity aka Dysautonomia • Pathophys • Fever • Inflammatory cascade and the above can cause secondary neurologic injury ICH • ICH score ICH Surger y? Or no surgery ? ICH – Surgical intervention? ICH – Surgical intervention? ICH EVD Or wait and see? What would you do for each? EVD or not? [Show More]

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