Subarachnoid Hemorrhage Flashcards
Where is a subarachnoid hemorrhage
Subarachnoid space
Causes of subarachnoid hemorrhage
Trauma
AVM
Blood thinners
Idiopathic
Cerebral aneurysm
Bleed without identified aneurysmal bleed
Clinical Findings of a SAH
Thunderclap headache
Dizziness
N/V
Diplopia
Seizures
Cranial nerve palsies
Nuchal rigidity
Decreased LOC
What does a CT head show in SAH
Hyper-densities
What are other tests to order if SAH is non-traumatic
CTA of head/neck
MRI head/neck
Cerebral angiogram of head/neck
What lab work should be ordered in SAH
LP: xanthochromia
CBC, PT/INR, BMP
What is the treatment plan for SAH
Reverse anticoagulation
ICP monitoring
EVD
Monitor for brain swelling
Repeat imaging
Consult neurosurgery