The primary goal of nursing management in severe head trauma is
to maintain adequate cerebral perfusion and improve cerebral blood flow in order to prevent cerebral ischaemia and secondary injury to the brain
.
What is head injury management?
Immediate emergency care
Emergency care for moderate to severe traumatic brain injuries focuses on making sure the person has enough oxygen and an adequate blood supply, maintaining blood pressure, and preventing any further injury to the head or neck.
What is the goal of nursing management of patient with a head injury?
The primary goal of nursing management in severe head trauma is
to maintain adequate cerebral perfusion and improve cerebral blood flow in order to prevent cerebral ischaemia and secondary injury to the brain
.
What are the nursing interventions for brain injury?
- Positioning. The patient should be positioned properly with the neck in neutral position and the head end of the bed elevated to 30°. …
- Brain tissue oxygen-directed management. …
- Temperature management. …
- Stress ulcer prophylaxis. …
- Nutrition. …
- Fluid therapy. …
- Hyperventilation. …
- Transport of patients.
How do you manage head injuries?
- Observation.
- Mild painkillers for any headache.
- To have nothing to eat or drink until further advised.
- Anti-nausea tablets for any nausea or vomiting.
- An x-ray of the neck, if you have any neck pain.
- A CT scan, if needed.
- For a mild head injury, to be discharged home with family or friends.
What is the first aid treatment for head injury?
Apply firm pressure to the wound with sterile gauze or a clean cloth
. But don’t apply direct pressure to the wound if you suspect a skull fracture. Watch for changes in breathing and alertness. If the person shows no signs of circulation — no breathing, coughing or movement — begin CPR.
What are the priorities for initial management of a head injury?
Initial management priorities. The first priority is
to stabilize vital signs
. An important goal of stabilization is to avoid secondary injury to the traumatized brain from hypoxia, hypotension, hyperthermia or raised intracranial pressure.
What is the best treatment for head injury?
People can often treat mild head injuries at home.
Applying a cold pack to the area
can help to reduce swelling. A person can also take Tylenol but should avoid non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, unless a doctor prescribes them.
Which fluid should not be given in head injury?
Therefore ,
hypo-osmolar crystalloids (0.45% NaCl or D5W)
should be avoided in neurosurgical patients [50].
What is another name for head injury?
| Head injury | Other names Head trauma | Soldier wounded at the Battle of Antietam on September 17, 1862. | Symptoms Injury to the brain or skull | Complications Hydrocephalus, cerebral edema, cerebral hemorrhage, stroke, coma, nervous system damage, paralysis, death |
|---|
What are the signs of a head injury?
- Raised, swollen area from a bump or a bruise.
- Small, superficial (shallow) cut in the scalp.
- Headache.
- Sensitivity to noise and light.
- Irritability.
- Confusion.
- Lightheadedness and/or dizziness.
- Problems with balance.
What are the management priorities for a patient with a traumatic brain injury?
The aims and objectives of its management are
prophylaxis and prompt management of intracranial hypertension and secondary brain injury, maintenance of cerebral perfusion pressure, and ensuring adequate oxygen delivery to injured brain tissue
.
How do you care for a patient with spinal cord injury?
- Immobilize the entire spine of any patient with known or potential SCI.
- Immobilize neck with a hard collar. …
- Use log roll with adequate personnel to turn patient while maintaining spine alignment.
Can I sleep if I hit my head?
Most medical professionals say
it is fine
—sometimes even advised—to let people sleep after incurring a head injury. The American Academy of Family Physicians states it is not necessary to keep a person awake after a head injury.
How do you know if your brain is bleeding after hitting your head?
Confusion
.
Unequal pupil size
.
Slurred speech
.
Loss of movement
(paralysis) on the opposite side of the body from the head injury.
What to do if you hit your head and pass out?
- There is severe head or face bleeding.
- The person is confused, tired, or unconscious.
- The person stops breathing.
- You suspect a serious head or neck injury, or the person develops any signs or symptoms of a serious head injury.
