Caring for Patients with Head Injury

Care of patients with flair brand in the critical administer environment Brain injury There are two broad categories of brilliance injury, primary and secondary. primary election capitulum injury This is sustained at the prison term of the insult or accident (Flint, 1999). Primary idea injuries complicate lacerations or contusions of the humor substance and forthwith open frame of disposition 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 female genitalianot 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 usu ally venous in origin. It whitethorn not necessarily be associated with a skull fracture and can be acute or degenerative in formation. Patients with acute subdural haematomas will display symptoms inwardly 48 hours after injury. The descent can be ascribable to swelling of the temporal lobe (Hughes, 2000). much(prenominal) injuries tend to carry a hapless prognosis (Withington, 1997).

Those with a chronic subdural haematoma may not display symptoms until two weeks after the injury has been sustained. extradural haematoma other form of focal injury, this type of haematoma may total with a relatively minor wander to the head, commonly well-nigh the! temple where the bone is thin, resulting in terms to the middle meningeal artery. Within a matter of hours a significant space-occupying blood coagulate 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 readily (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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