NCLEX-PN
● Interventions and Treatments: Seizure precautions, neurologic monitoring, rest, increased fluid intake, antipyretics, and antiviral drugs. ● Complications: Long-term neurological changes, weakness, paralysis, coma, and death. 5. Brain Herniation ● Description: Abnormal protrusion of the brainstem through the foramen magnum due to increased intracranial pressure. ● Signs and Symptoms: Cushing's reflex, Cheyne-Stokes respirations, posturing, hypoxia, apnea, and respiratory failure. ● Interventions and Treatments: Preserve life, anticonvulsant medications, osmotic diuretics, corticosteroids, intubation, and mechanical ventilation. ● Complications: Permanent brain damage, seizures, coma, respiratory arrest, and death. 6. Traumatic Head Injury ● Description: Injury to the skull and brain, including primary and secondary injuries. ● Signs and Symptoms: Increased intracranial pressure, cerebral swelling, ischemia, hypoxia, impaired respiration, hypotension, acidosis, pupil changes, posturing, seizures, and altered consciousness. ● Interventions and Treatments: Medications (e.g., mannitol), anticonvulsants, oxygen, mechanical ventilation, fluid replacement, blood pressure management, and pain control. ● Complications: Increased intracranial pressure, permanent brain damage, seizures, coma, and death. 7. Subarachnoid Hemorrhage ● Description: Bleeding in the subarachnoid space due to various causes. ● Signs and Symptoms: Severe headache, decreased consciousness, nausea, vomiting, seizures, photophobia, neck stiffness, visual changes, and muscular pain. ● Interventions and Treatments: Bed rest, prevention of vasospasm (e.g., nimodipine), treatment of underlying cause (e.g., aneurysm), and supportive care. ● Complications: Chemical meningitis, hydrocephalus, brain edema, vasospasm, coma, and death. 8. Epidural Hematoma ● Description: Bleeding between the skull and dura mater, typically due to head trauma.
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