Hemorrhagic Stroke: Surgical and Pharmacological Management

Question 1

Hemorrhagic Stroke: Surgical and Pharmacological Management

Answer 1

1. Analgesics
2. Bed rest with sedation
3. Surgical evacuation (Craniotomy)
   
   • If cerebellar hemorrhage diameter is greater than 3cm
   • GCS below 14
4. Aneurysm clipping
5. Craniectomy

Question 2

Hemorrhagic Stroke: Surgical and Pharmacological Management

Nursing Management

Answer 2

1. Monitor for neurologic deterioration
2. Implement aneurysm precaution
3. Monitor and manage complications:
   
   • Vasospasm
   • Seizure
   • Hydrocephalus (check for head circumference)
   • Rebleeding
4. Teaching pt self-care
5. Continuing care