Neuro diagnostic & procedure -Cerebral Angiogram oPreprocedural Assess for allergies to iodine (shellfish) Assess kidney function Take off jewelry Refrain from eating or drinking 4-6 hours prior to test Instruct pat
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Neuro diagnostic & procedure -Cerebral Angiogram oPreprocedural Assess for allergies to iodine (shellfish) Assess kidney function Take off jewelry Refrain from eating or drinking 4-6 hours prior to test Instruct patient sedation is given before and during procedure Instruct client to void before the procedure Instruct the client on what side effects occur with dye Metallic taste, warm sensation over face, jaw, tongue, lip and behind ears oPostprocedural Inspect insertion site and distal extremities for pedal pulses, color and warmth -Electroencephalography (EEG) oAssess electrical activity of the brain oPreprocedural Wash hair before procedure Sleep deprivation is better for this procedure Patient does not need to be NPO Avoid stimulants 12-24 hours before procedure oDuring procedure Takes 1 hour Flashing lights may be used Patient may be asked to hyperventilate Increases electrical activity in the brain oPostprocedural Normal activity can resume Glass coma scale (GCS) Assess LOC <8 indicates severe TBI 9-12 indicates moderate TBI > 13 indicates minor TBI -Intracranial pressure monitoring (ICP) oMonitor device is inserted into the cranial cavity that records pressure Risk for infection oGCS score < 8 patients are candidates for ICP monitoring 1
oIrritability is early sign of ICP.
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