Intracranial Bleeding Flashcards
What is the most common cause of Intracranial hemorrhage
Hypertension
4 reasons to perform ICP monitoring in patient with intracranial bleeding
GCS < 9
Hydrocephalus
Intraventricular hemorrhage
Evidence of herniation
SBP goal in patients with intracranial hemorrhage
< 180
Used to be < 140 but studies have shown no benefit to this
Should you surgically evacuate deep intracranial bleeds?
No
Increased mortality with that approach
When to add DVT prophylaxis following hemorrhagic stroke
after 48 hrs
What is the preferred reversal for coumadin in patients with hemorrhagic stroke
4 factor prothrombin complex
NOT FFP and vitamin K
When should you restart anticoagulation in a patient with hemorrhagic stroke
before discharged
Should you give seizure prophylactic seizure medication in intracranial hemorrhage?
No
Most common cause of subarachnoid hemorrhage
aneurysms
Test to eval for subarachnoid hemorrhage if CT head is normal
lumbar puncture
Treatment for subarachnoid hemorrhage
Coil or clip as fast as possible
Is coil or clip the preferred method for treating subarachnoid hemorrhage
Coil
common complication of subarachnoid hemorrhage
cerebral vasospasm
Symptoms of cerebral vasospasm in patient with subarachnoid hemorrhage
decreased LOC with focal deficit
Peak incidence of cerebral vasospasm following subarachnoid hemorrhage
7-14 days
