A 65-year-old male was brought by the rescue squad to the emergency room after being found comatose on the floor of his garage at the bottom of a 15-ft ladder. He was intubated at the scene for airway protection and remains unresponsive. Past medical history is unknown as a neighbor found the patient; however, the neighbor notes alcohol intake of unknown frequency or quantity. Computed tomography scan (CT scan) imaging of his cervical spine was negative but brain imaging showed diffuse, traumatic subarachnoid hemorrhage; small right-sided epidural hematoma (EDH); and large left subdural hematoma (SDH) with subsequent tentorial herniation. The left-sided SDH was evacuated and a hemicraniectomy was performed to minimize the mass effect of the cerebral edema. The patient was admitted to the neurocritical care unit (NCCU) for proper management and treatment. Foley catheter in place with clear yellow urine. Urinary output is within normal range. The patient initially regained some movement in the left upper and the left lower extremities postoperatively. But noticed of an acute loss of his left- sided motor function, right eye deviation, and in coma.
A 65-year-old male was brought by the rescue squad to the emergency room after being found comatose on the floor of his garage at the bottom of a 15-ft ladder. He was intubated at the scene for airway protection and remains unresponsive. Past medical history is unknown as a neighbor found the patient; however, the neighbor notes alcohol intake of unknown frequency or quantity. Computed tomography scan (CT scan) imaging of his cervical spine was negative but brain imaging showed diffuse, traumatic subarachnoid hemorrhage; small right-sided epidural hematoma (EDH); and large left subdural hematoma (SDH) with subsequent tentorial herniation. The left-sided SDH was evacuated and a hemicraniectomy was performed to minimize the mass effect of the cerebral edema. The patient was admitted to the neurocritical care unit (NCCU) for proper management and treatment. Foley catheter in place with clear yellow urine. Urinary output is within normal range. The patient initially regained some movement in the left upper and the left lower extremities postoperatively. But noticed of an acute loss of his left- sided motor function, right eye deviation, and in coma.
Chapter10: Medication Administration Essentials
Section: Chapter Questions
Problem 16RQ
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TRAUMATIC BRAIN INJURY CASE SCENARIO
1. Discuss the disease or the condition on the case presented, that includes the definition, epidemiology, signs and symptoms, treatment and management. (please include a lot and important information thank you so much)
2. Create 2 NCP based on the given case scenario that needs to be prioritized. Thank you!
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