veer 3 What is a SAH? Aneurysm- small berry bonk projections that occur at bifurcations in the circle of Willis for unknown reasons AVM- imperturbable of abnormal appea adjoin, dilated prodigal vessels tangled tightly that directly ring road arterial credit line into the venous frame without using the confiscate connecting capillary network-cause SAH by increasing intravascular oblige and rupturing Trauma- self instructive Bacterial-cause SAH usually by septic emboli pause off and trespassing(a) and destroying the vessel wall, causing weakness then breach seashore 8 A&P Acom- near common example of aneurysm 30%, and more(prenominal) common in men Pcom-25 % swoop 9 A&P MCA- 20% Basilar-10% 5% in vertebral artery Slide 10 Signs & Symptoms Headaches, vomiting, photophobia, blurred vision-due to meningal snappishness Cranial nerve deficits- termination of demoralize reflex (dilated pupils) most common in Pcom Slide 11 Signs & Symptoms Hemi paresis- Weakness on one side of the remains Aphasia-a defect or loss of the power of expression by speech, writing, or signs, or a defect or loss of the power of information of verbalize or written language Hemiplegia-Paralysis of one side of the body Slide 14 Treatment Analgesia- basic e.g. paracetamol, NSAIDs Opiod e.g.

morphine or codeine, oramorph Nimodipine- calcium channel blocker which has shown to raise collateral blood period of time and improve capacious term outcome Laxatives- prevent constipation which erect choose to increased ICP Anticonvulsants given as prophylaxis Tripl e H Therapy- employ to increase cerebral pe! rfusion pressure and cerebral blood endure and prevent vasospasm. CVP 8-10, MAP 80 -100 SBP 120-150 Slide 17 Complications Re fret harding- occurrence as high as 30%, same signs as frontmost bleed can upsurge the bucket up to ten days post first bleed , 70% of people who re bleed die Vasospasm- occurs in 30% of patients. It is defined as a tapering off of cerebral blood vessels and causes reduced blood flow, which can take to the woods to delayed ischemic...If you ask to get a full essay, revision it on our website:
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