Cerebral Aneurysm

cerebralaneurysm
weaknessin abloodvessel in thebrain thatballoons
fills w blood
causesdefectiscongenitalorsecondaryto
hypertensionaatherosclerosis
assessment
sudden severeheadache followedbyrapiddizziness
onV lossofconsciousness
If arupturedaneurysmproduces a smallleak a
stiffneckheadachevisualdisturbances a
intermittentnauseadevelop
diagnostic
CT MRIarepreferredtonotaddpressure riskrupture
cerebralangiographyhelpvisualizea slowleakunrupturedaneurysmor
impendingrupture
HuntHessscalegradesPtbasedonLocadeficits
medmanagementconservativemanagement
completebedrest
preventionofrebreedingatrupturesite
HOBelevated ICP cerebraledema
antihypertensiveanticonvulsanttranquilizersosmoticdiureticscorticosteroids
assess prevent n V vomiting ICP
surgicalmanagementcraniotomy
dangeroususuallyperformedafterinitialrupturetocontrolbleedingaweakened
vasculaturetopreventfurtherruptures
clipsclampsorstent fillinganeurysmw Colltopreventrupture
nursingmanagement
reportneurochanges ICP
initiateseizureprecautions
NOopioid onlycodeine