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Headache Nausea and vomiting Elevated blood pressure Fever Dizziness Decrease LOC Periorbital edema Disrupted motor sensory Cranial nerve and cognitive dysfunction
Cerebrovascular accident
Intracerebral hemorrhage
Discharge Planning
Medication
Instruct the client and family to take his medications on time prescribed by the doctor Educate client about the proper intake of the medication and importance of following the prescribed medications Encourage client to avoid strenuous activities or exercise Encourage the client to have passive range of motion exercises Encourage ambulation (with or without assistance) Instruct the client to take medication as follows: Captopril Simvastatin Educate client to take Paracetamol tab, 500mg when fever persist Instruct client to take a bath everyday and observe cleanliness on personal hygiene Encourage frequent oral hygiene; use soft bristle toothbrush Instruct the client to go back to the hospital for his follow up check up at OPD department Educate the importance of follow up check ups and responding to the doctors advise Instruct the client to decrease salt and fat consumption Educate client to eat nutritious food such as vegetables and fruits Encourage balance meal and food variety
Encourage client to take time on her own spiritual belief and ask for guidance and personal concerns Encourage use of cranes or assistance when ambulating if necessary to prevent fall and injury
Exercise
Treatment
Hygiene
OPD
Diet
Formation of aneurysm
Ischemia
Turbulence and vibration from the pulsatile blood flow act on weakened wall
-disrupted motor sensory -cranial nerve and cognitive dysfunction -decrease LOC Blood leaks on the brain Ruptured aneurysm -fever -increase WBC
Increase ICP
Brain disturbances
SUBARACHNOID HEMORRHAGE
Disruption of normal cerebral metabolism by direct exposure of the brain to blood Increase ICP and compression of structures from blood in the subarachnoid space Arterial vasospasm