Suggest The Treatment For Intercranial Bleed?

Posted on Thu, 17 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 17 Oct 2013 Answered on

Thu, 7 Nov 2013 Last reviewed on

Question : admitting dx is intercranial bleed need nursing diagnosis,and priority assessment and intervention my patient's 71yrsd female .
thank you

Answered by Dr. Sudhir Kumar (45 minutes later)

Brief Answer:
My reply is below

Detailed Answer:
Thank you for posting your query.

Nursing diagnosis: Intracranial hemorrhage (brain hemorrhage)

Priority assessment would include:

Assessment of consciousness- Glasgow coma scale (GCS)
Blood pressure, pulse rate, respiratory rate,
Temperature
Assessment of swallowing- by doing swallow test
Assessment of motor power (of limbs)

Interventions may include:

1. Change of patient position every two hours,
2. Placement of Ryle's (nasogastric tube) if swallowing is inadequate
3. Feeding through the Ryle's tube,
4. Administering BP and other medications,
5. Assisting in physiotherapy,
6. Deep vein thrombosis (DVT) prophylaxis by using stockings, mechanical compression, etc
7. Psychological support to patient and family

I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar