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Aneurysm

– an outpouching of an artery

Types of Cerebral Aneurysm:

  • Sacular (berry)
  • Fusiform
  • Mycotic

Causes of Anerysm includes: Congenital, Atherosclerosis, Trauma

  • Understand that patients are often asymptomatic with the aneurysm, until the time that it rupture.  If a cerebral aneurysm does rupture, the patient will have a significant bleeding, and this would be considered a hemorrhagic stroke.

Assessment for patients:

  • Headaches *(usually very severe sudden headaches)
  • Vomiting
  • Ptosis
  • Diplopia
  • Decreased LOC

Interventions:

  • Seizure Precautions
  • Assess and monitor the level of consciousness and neurological status
  • Administer corticosteroids drugs (to reduce inflammation) (dexamethasone)
  • Administer anticonvulsant drugs to reduce the risk of seizure.
  • Administer stool softener drugs to decrease the need to strain.

 

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