사례기반간호학 실습 PASSBAR 보고서

본 내용은 " 사례기반간호학 실습 PASSBAR 보고서 " 의 원문 자료에서 일부 인용된 것입니다. 2023.07.27

문서 내 토픽

• 1. Acute Subdural Hemorrhage

  Acute Subdural Hemorrhage는 두개강 내 출혈의 한 유형으로, 뇌 실질 내부와 경막 사이에 출혈이 발생하는 것을 말합니다. 이로 인해 두개강 내압이 상승하고 뇌 조직이 손상될 수 있습니다. 주요 증상으로는 의식 저하, 두통, 구토, 동공 부등, 운동 마비 등이 있으며, 신속한 진단과 수술적 치료가 필요합니다.

• 2. Subdural bolt 설치

  Subdural bolt 설치는 Acute Subdural Hemorrhage 환자에게 시행되는 수술 방법 중 하나입니다. 두개골에 작은 구멍을 내어 출혈 부위에 배액관을 삽입하여 출혈을 줄이고 두개강 내압을 낮추는 것이 목적입니다. 이를 통해 뇌 조직의 손상을 최소화하고 환자의 예후를 향상시킬 수 있습니다.

• 3. 간호 중재

  Acute Subdural Hemorrhage 환자에 대한 간호 중재로는 의식 수준 및 활력징후 모니터링, 산소 공급, 체위 변경, 욕창 및 낙상 예방, 수술 후 관리 등이 있습니다. 특히 두개강 내압 상승을 예방하고 뇌 기능을 보호하는 것이 중요합니다.

Easy AI와 토픽 톺아보기

• 1. Acute Subdural Hemorrhage

  Acute subdural hemorrhage is a serious and life-threatening condition that requires prompt medical attention. It occurs when blood accumulates between the dura mater and the arachnoid mater, causing increased intracranial pressure and potential brain damage. The most common causes are traumatic brain injury, such as from a car accident or fall. Symptoms may include headache, confusion, drowsiness, and neurological deficits. Immediate diagnosis through imaging tests like CT scans and prompt surgical intervention, such as craniotomy to evacuate the hematoma, are crucial for improving outcomes. Careful monitoring and management of intracranial pressure, as well as supportive care, are also essential. With timely and appropriate treatment, many patients can recover, but the prognosis depends on the severity of the injury and the patient's overall health. Ongoing research aims to better understand the pathophysiology and develop more effective treatments for acute subdural hemorrhage.

• 2. Subdural bolt 설치

  Subdural bolt placement is a neurosurgical procedure used to monitor intracranial pressure (ICP) in patients with severe traumatic brain injury, stroke, or other conditions that can lead to increased ICP. The procedure involves inserting a small bolt or catheter through the skull and into the subdural space, allowing for continuous measurement of ICP. This information is critical for guiding treatment and preventing further brain damage. The procedure is typically performed under local anesthesia and is relatively quick and minimally invasive compared to other ICP monitoring techniques. However, it does carry some risks, such as infection, bleeding, or damage to the brain tissue. Careful patient selection, sterile technique, and close monitoring are essential to minimize these complications. Overall, subdural bolt placement is an important tool in the management of patients with elevated ICP, as it allows for targeted interventions to reduce pressure and improve outcomes. Ongoing research and technological advancements continue to improve the safety and efficacy of this procedure.

• 3. 간호 중재

  Nursing interventions play a crucial role in the care of patients with acute subdural hemorrhage and elevated intracranial pressure. Nurses are responsible for closely monitoring the patient's neurological status, vital signs, and ICP, and promptly reporting any changes to the healthcare team. They also play a key role in implementing measures to reduce ICP, such as elevating the head of the bed, maintaining normothermia, and ensuring adequate sedation and pain management. Nurses must also be skilled in managing the patient's airway, providing respiratory support, and administering medications and fluids as ordered. Additionally, nurses are responsible for providing emotional support to the patient and their family, educating them on the condition and treatment plan, and coordinating care with other members of the healthcare team. Effective nursing interventions can significantly impact patient outcomes, reducing the risk of secondary brain injury and improving the chances of a successful recovery. Ongoing education, evidence-based practice, and interdisciplinary collaboration are essential for nurses to provide the highest quality of care for these complex patients.