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What is an indication for external ventricular drain insertion? - ANSWER-Acute symptomatic hydrocephalus Which hemorrhagic stroke procedure allows for intracranial pressure monitoring? - ANSWER-Ventricular drain insertion
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What is an indication for external ventricular drain insertion? - ANSWER-Acute symptomatic hydrocephalus Which hemorrhagic stroke procedure allows for intracranial pressure monitoring? - ANSWER-Ventricular drain insertion What assessment must be completed and documented as part of the initial evaluation of hemorrhagic stroke patients? - ANSWER-baseline Severity Score When intracranial pressure is elevated and your patient experiences neurological decline, what intervention may be necessary to preserve cerebral blood flow? - ANSWER-osmotic therapy What is considered a main benefit of endovascular coiling? - ANSWER-less invasive, lower risk What is an important consideration addressed in an external ventricular drain care bundle? - ANSWER-Administration of antibiotic dose before insertion What is the target for intracranial pressure with hemorrhagic stroke? - ANSWER-less than 20 What clinical syndrome occurring after cerebral hemorrhage may be managed by induction of hypertension? - ANSWER-delayed cerebral ischemia What condition might occur after an acute neurological injury and result in patient experiencing rapid-onset dyspnea? - ANSWER-Neurogenic Pulmonary Edema What is a complication of external ventricular drain insertion? - ANSWER-hemorrhage in patient without a mechanical heart Valve, how long should oral anticoagulants be avoided to reduce the risk of rebreeding after hemorrhagic stroke? - ANSWER-at least 4 weeks
what medication is given to all aneurysmal subarachnoid hemorrhage patients to improve outcomes? - ANSWER-Nimodipine what is a benefit of surgical clipping in aneurysmal subarachnoid hemorrhage? - ANSWER-decreased risk of rebleeding For hemorrhagic stroke patients, what measure may be required to reduce hematoma expansion? - ANSWER-anticoagulant reversal What technique is used along with a neuro exam to diagnose cerebral vasospasm? - ANSWER-trans cranial Doppler Ultrasound Which assessment requires close observation to mitigate complication of brain herniation with hemorrhagic stroke? - ANSWER-continuos ICP monitering What systolic blood pressure target is generally reasonable for patients with subarachnoid hemorrhage? - ANSWER-less than 160 What complication can be caused by hyponatremia? - ANSWER-cerebral vasospasm Which aneurysmal procedure requires a craniotomy? - ANSWER-clipping What intervention may be indicated for chronic nonobstructive hydrocephalus? - ANSWER-VP shunt When would a craniotomy/craniectomy be performed for hemorrhagic stroke? - ANSWER-supratentorial intracranial hemorrhage with deterioration Within what time frame would you expect neurogenic pulmonary edema to develop after an acute neurological injury? - ANSWER-few hours When should new do-not-resuscitate orders be implemented in hemorrhagic stroke patients without preexisting DNR orders? - ANSWER-second full day