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Neurological Case Study 3


NeurologicalCase Study 3

NeurologicalCase Study 3


Theprimaryhead injury is the type of damagethat is usually brought up by mechanical forces. Causes of firsthead injuries take place when the unusualobjects tendto hit the head or when the brain strikes the inside part of theskull inaccelerationand deceleration manner. Thistype of injury usually transpiresat the time of initial affrontand can lead to alteration of the brain structure.


Secondaryhead injury,on the other hand,is not usually mechanically induced. Inthis case,it tends to delay from the moment of the actual impact, and itsuperimposesthe damage to the mind that has already been affected by themechanical injury. A good example can be the one of about overone-quarterof SHI patients that tend to agonize one or more secondary headdamage after or between the time of injury and recovery. Littleprogress isin place in ameliorating the influence of hypertension during thisperiod as much as there a have been a decrease in the improvement ofstrategies. Most of the injurymay becausedby impairment or local reduction in cerebral blood flow.


Intracranialpressure tends to be one of the most significant clinical pointersof overall prediction and patient demonstration. IICP dimension playsavital role in helpingto point out negative or positive response to intrusions in place.Some of the signs of IICP include headaches, amplified bloodpressure, having issues with doublevision, nausea, frequent vomiting and lastly reduced mentalcapacities.


Thefirst medication class involves anticonvulsants are induced to helpimprove the excitation levels due to the increased seizure risks.Second, diuretics plays an important task of drawing water from thebrain cells. Third, corticosteroids assist in the process ofreducing and doing away with the cerebral edema. Lastly, theantihypertensive reduce and do away with the overall decrease in theBP caused by hypertension.Someof the nursing involvements that can be used to help in controllingICP are: performing the neurological evaluations on an hourly basissecond, checking of the nervous reaction that amplifies ICP third,doing away with extreme flexion of hips and exercise. Fourth,observation of stringent fluid limits by using hyperoxygenationbefore and after the procedure. Also, execution of neurologicalassessments ph., upholding the head in a neutral position, and lastlyby elevating the HOB 15-30 degrees.


Theclient will be on Zantac. An h2 usually used to do away with thesecretion of the acid in the stomach. Besides that, the patient isalso on Dilantin thatis anantiepileptic medicine used to control chances of seizure and lastlyCleocin an anti-infectious agent that is used to treat respirationtract infections (ChristopherBlackwell, n.d.).


TheCXR was made to make sure that there is the properplacement of the drip tip and to ensure lack of pneumothorax.


Na+149mmol/Lthis one is for hypernatremia

Cl119mmol/Lthis one is for chloride level increase.


Thepatient’s tension is possibly resulting from happenings that causehypoxemia or amplified ICP. Inthis case,the atmosphere should be as stimuli-free as possible.


Thereshould be the need for the patient to be put in long-term carefacility depending on the sequence of recovery. In this case,it’s wise to consult professional therapists.


Thereshould be proper assistance of interaction by any certifiedtranslator of the mother`snative language, depending onthe abilities surrounding the condition other translators can comein handy.


Thelong-term needs of the patient have to be assessed. If the client mayrequire care providers, then it will be imperativeto evaluate the abilities of each and every one of the providers thatwill be assisting him with the ADLs to address the medicalrequirements and requests.


ChristopherBlackwell.(n.d.). Retrieved from Neurological Case Study :http://drchristopherblackwell.com/lectures/neurocasestudy%203-faculty.htm