SAH, 지주막하출혈 간호과정
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SAH, 지주막하출혈 간호과정
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2023.02.13
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  • 1. Subarachnoid hemorrhage
    Subarachnoid hemorrhage (SAH)는 뇌동맥류의 파열로 인해 발생하는 출혈로, 지주막과 연막 사이에 혈액이 유입되는 것을 말한다. 주요 증상으로는 심한 두통, 구토, 경련, 의식 저하 등이 있으며, 신속한 진단과 치료가 필요하다. 치료로는 혈관 색전술, 수술적 치료 등이 있으며, 합병증으로 재출혈, 뇌혈관 연축, 수두증 등이 발생할 수 있다. 간호중재로는 신경학적 증상 모니터링, 통증 관리, 출혈 예방, 합병증 예방 등이 필요하다.
  • 2. Concussion
    뇌진탕(Concussion)은 외력에 의한 일시적인 신경기능 장애로, 의식 소실, 두통, 어지러움, 구토 등의 증상이 나타난다. 원인으로는 가속-감속 외력, 직접적인 타격, 폭발 등이 있다. 전두엽, 측두엽 등의 손상으로 인해 일시적인 기억상실, 행동 변화 등이 발생할 수 있다. 간호중재로는 신경학적 증상 모니터링, 안전한 환경 조성, 증상 완화를 위한 약물 투여 등이 필요하다.
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  • 1. Subarachnoid hemorrhage
    Subarachnoid hemorrhage is a serious and potentially life-threatening medical condition that requires prompt diagnosis and treatment. It occurs when there is bleeding into the subarachnoid space, the area between the brain and the thin, outermost covering of the brain (the pia mater). This can be caused by a ruptured aneurysm, head injury, or other underlying conditions. Symptoms may include sudden, severe headache, nausea, vomiting, neck stiffness, and altered mental status. Prompt medical attention is crucial, as subarachnoid hemorrhage can lead to serious complications such as vasospasm, hydrocephalus, and permanent brain damage if not treated effectively. Diagnostic tests like CT scans and lumbar punctures are used to confirm the diagnosis, and treatment may involve surgical clipping or endovascular coiling of the ruptured aneurysm, as well as management of associated complications. Ongoing monitoring and rehabilitation are also important for recovery. Overall, subarachnoid hemorrhage is a complex and challenging condition that requires a multidisciplinary approach to provide the best possible outcomes for patients.
  • 2. Concussion
    Concussion is a type of traumatic brain injury that occurs when the brain is shaken or impacted, often as a result of a blow to the head or body. While concussions are generally considered a mild form of TBI, they can still have significant and potentially long-lasting effects on an individual's physical, cognitive, and emotional functioning. Symptoms of a concussion may include headache, dizziness, nausea, confusion, memory loss, and difficulty concentrating. It is important to seek medical attention promptly after a suspected concussion, as proper diagnosis and management are crucial for recovery. Treatment typically involves physical and cognitive rest, followed by a gradual return to normal activities as symptoms improve. In some cases, more intensive rehabilitation or specialized treatment may be necessary, particularly for individuals with persistent or severe symptoms. Concussions can have serious consequences if not properly managed, including increased risk of subsequent concussions and long-term cognitive and neurological impairments. Therefore, it is essential that individuals, healthcare providers, and communities work together to raise awareness, promote prevention, and ensure appropriate care for those affected by this common and potentially debilitating injury.
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