Nursing Care of Ruptured Aneurysm with Subarachnoid Hemorrhage: 2 Case Study
Keywords:
Cerebral aneurysm, Subarachnoid hemorrhage, Cerebral vasospasmAbstract
Cerebral aneurysm is a complex, severe neurological crisis. When aneurysm ruptures, it can cause bleeding from artery into subarachnoid space that negatively affects the brain. The patients have high risk of death and disability. Close monitoring, quick and proper treatment, using the nursing process correctly and completely in every step will save them from complications or reduce the impact of them. The patients can quickly recover and discharge from hospital with good quality of life. In this study, which about nursing care of Rupture Aneurysm with Subarachnoid Hemorrhage compares 2 patients. One is a 52-year-old male with re-bleeding after surgery, cerebral vasospasm causing delayed cerebral ischemia. Another one is a 46-year-old female with meningitis complication from surgical wound infection. The results illustrate that utilizing the nursing process include closely assessing neurological deterioration, monitoring of re-bleeding, providing post-clipping care, preventing cerebral vasospasm, and promoting recovery produce good outcome. These can keep patients safe from crises and good quality of life.
References
Sacco RL, Kasner SE, Broderick JP, Caplan LR, Culebras A, Elkind MS, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013;44(7):2064-89.
Veldeman M, Höllig A, Clusmann H, Stevanovic A, Rossaint R, Coburn M. Delayed cerebral ischaemia prevention and treatment after aneurysmal subarachnoid haemorrhage: a systematic review. Brit J Anaesth 2016;117(1):17-40.
Hughes JD, Bond KM, Mekary RA, Dewan MC, Rattani A, Baticulon R, et al. Estimating the global incidence of aneurysmal subarachnoid hemorrhage: a systematic review for central nervous system vascular lesions and meta-analysis of ruptured aneurysms. World Neurosurg 2018 ;115:430-47.
Shah KB, Shrestha S, Jaiswal SK, Qian LB, Kui CL. Aneurysm clipping and outcome for Hunt & Hess grade 4, 5 subarachnoid hemorrhage - a literature review. OJMN 2018; 8(2):215-32. DOI: 10.4236/ojmn.2018.82018
Kouwrobtum S. Management of unruptured intracranial aneurysm. In: Pasutharnchart N, Chutineth O, Charnarong N, editors. Basic and clinical neuroscience. Bangkok: Chulalongkorn University Printing House; 2013. p.170-82. (In Thai)
Larsen CC, Astrup J. Rebleeding after aneurysmal subarachnoid hemorrhage: a literature review. World Neurosurg. 2013 Feb;79(2):307-12.
Inagawa T. Risk factors for cerebral vasospasm following aneurysmal subarachnoid hemorrhage: a review of the literature. World Neurosurg 2016;85:56-76.
Hockel K, Diedler J, Steiner J, Birkenhauer U, Danz S, Ernemann U, et al. Long-term, continuous intra-arterial Nimotop treatment of severe vasospasm after aneurysmal subarachnoid hemorrhage. World Neurosurg 2016; 88:104-12.
Vivancos J, Gilo F, Frutos R, Maestre J, García-Pastor A, Quintana F, et al. Clinical
management guidelines for subarachnoid haemorrhage: diagnosis and treatment. Neurología (English Edition) 2014; 29(6): 353-70.
Connolly ES Jr, Rabinstein AA, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, et al. Guidelines for the management of aneurismal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke 2012;43(6):1711- 37.
World Health Organization. Global status report on noncommunicable diseases 2014. Geneva, Switzerland: Printed Switzerland; 2014.
Satirapanya C, Sathiranya P, TraiChan C. Prevalence of risk factors for stroke and depression after stroke in Phatthalung Province: cross-sectional study. Songkhla Nakarin Vejsarn Journal 2014; 32(5): 275-82.
Puthawong W, Kittipichai W, Silawan T, Monsawaengsup C. Cerebrovascular disease risk factors among hypertensive patients in Phayao Province. Journal of Public Health 2014; 44(1):30-45. (in Thai).
Ou C, Chen Y, Wang S, Mo J, Hu W. Case report delayed symptomatic vasospasm after clipping of an unruptured intracranial aneurysm: case report and literature review. Int J Clin Exp Med 2017;10(6):9697-703.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Region 3 Medical and Public Health Journal - วารสารวิชาการแพทย์และสาธารณสุข เขตสุขภาพที่ 3
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
