Nursing Management

Nursing Management Management | Rationale | * Monitor patient’s LOC, cardiac and respiratory status (ECG, vital signs, hemodynamic status). * Administer medications such as Vastarel, Citicholine and Nifidepine as indicated. * Implement Aneurysm Precautions such as:*Elevate head of the bed 15 to 30 degrees.*instruct patient to wear thigh-high elastic compression stockings*Provide patient all personal care; a quiet and non-stressful environment; instruct to avoid Valsalva maneuver, straining, forceful sneezing and pushing up in bed * Explain to patient the importance of restrictions provided * Keep the patient and the family well informed of the plan of care * Instruct client to increase oral fluid intake and administer Intravenous Fluids as indicated. * Encourage client to have music therapy, guided imagery and other non-pharmacologic method | * to determine changes or deterioration. Prompts treatment of possible complications * to provide pharmacologic treatment of the disease condition*to promote venous drainage and decrease ICP.*to decrease incidence of Deep Vein Thrombosis resulting from immobility*such measures prevent exertion that might raise blood pressure which increases risk of rebleeding * to reduce sense of isolation and enhance cooperation * provides reassurance and helps minimize anxiety * to prevent hemoconcentration which increases the risk of cerebral vasospasm. * To provide nonpharmacologic method of relieving pain such as headache |

Sources:
Black, J.M. & Hawks, J.H. (2009). Medical-Surgical Nursing: Clinical Management for Positive Outcomes (8th ed.). Philadelphia: Elsevier/Saunders
Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2010). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (12th ed.). Philadelphia: Lippincott Williams &