A case study involving patients with post-intracranial hemorrhage secondary to an AVM bleed.
Written in 2005; 2,025 words; 19 sources; $ 80.95
Paper Summary:
This case study discusses two possible nursing diagnoses in a comatose patient post-intracranial hemorrhage secondary to an AVM bleed. Tracheotomy care and providing comfort, particularly through touch, were discussed. Each diagnosis and intrevention is justified in the context of the patient's present state, followed by a detailed discussion of possible interventions and associated issues.
From the Paper:
"The placement of an endotracheal tube and eventually a tracheotomy tube was necessary in Mrs. Trans's case because of her impaired consciousness (Durbin, 2005).On day one, her arterial blood gases results showed the following: Vent. Rate NA L/min FIO[2] NA % pH 7.42 (7.35-7.45) pCO[2] 39 mmHg (35-45) pO[2] 143 mmHg (80-110) HCO[3] 24 mmol/L (22-30) Std HCO[3] 25 mmol/L (22-30) Base Excess 0 mmol/L (-3/+3) O[2] Sat 99 % (>94) Note that the immediate concern at the time was the emergency neurosurgery that was undertaken, in which case, general anesthesia would have been the more immediate indication for an artificial airway and oxygen therapy (Baillie, Corben & Higham, 2005)."
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