神經(jīng)科急癥neurologicalemergencies(編輯修改稿)
2024-09-28 19:10 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 dmision to ICU ?Haematoma evacuated ?Pupils equal, reactive ?MAP 80 ?ICP 26 What next? Image ? Kathy Mak Management ?Ensure adequate cerebral oxygen delivery – Oxygen saturation – Cerebral blood flow ?Determined by cerebral perfusion pressure CPP=MAPICP – Reduce cerebral oxygen demand ?Prevent herniation Management ?Intracranial pressure – Treatment threshold 2025 mmHg ?Cerebral perfusion pressure – Target 60 mmHg Reduce ICP ?Drain CSF ?Osmotherapy ?PaCO2 ~ kPa (35 mmHg) ?Improve venous drainage – Nurse head up (30176。 ) – Position head and neck to ensure venous drainage is not obstructed Image ? Kathy Mak Decrease cerebral oxygen demand ?Analgesia and sedation ?Control temperature (and treat cause of pyrexia) ?Prevent/treat fits Image ? Kathy Mak Other treatment ?stress ulcer amp。 mechanical DVT prophylaxis ?physiotherapy ?look for and treat coagulopathy – not unmon ?prevent hyperglycaemia Image ? Kathy Mak Head injury ?Any questions? Status epilepticus
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