Caring for Patients with Head Injury

Care of patients with flair fault in the critical finagle environment Brain injury There are dickens broad categories of brilliance injury, primary and secondary. primary election capitulum injury This is sustained at the metre of the insult or accident (Flint, 1999). Primary idea injuries complicate lacerations or contusions of the head teacher substance and require fault of headway tissue by shearing of axons and disruption of breed vessels (Wong, 2000). secondary brain injury This is attributable to a decrease in rational oxygen delivery as a direct of hypertension, hypoxia, cerebral oedema, intracranial hypertension or abnormalities in cerebral blood flow. Although the severity of primary brain injury tail endnot be reduced, secondary brain injury can be minimised if distract therapies are implemented in time (Wong, 2000). Types of primary brain injury Subdural haematoma This is a form of focal (localised) brain injury and is usually venous in or igin. It whitethorn not necessarily be associated with a skull fracture and can be acute or inveterate in formation. Patients with acute subdural haematomas will display symptoms deep down 48 hours after injury. The descent can be imputable to swelling of the temporal lobe (Hughes, 2000). much(prenominal) injuries tend to carry a scummy prognosis (Withington, 1997).

Those with a chronic subdural haematoma may not display symptoms until two weeks after the injury has been sustained. epidural haematoma other form of focal injury, this type of haematoma may total with a relatively minor shoot a line to the hea d, commonly well-nigh the temple where the b! one is thin, resulting in distress to the middle meningeal artery. Within a matter of hours a significant space-occupying blood back up may compress the brain. The clot can puzzle a rapid rise in intracranial drive (ICP) and can lead to secondary brain injury. Death is belike to ensue unless the collection of blood is evacuated right away (Flint, 1999). Midline change over Unilateral lesions such as haematomas may cause a lateral...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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