A nurse is caring for a 4 year old client with a closed head injury. Changes in vital signs and altered mental status are some clinical manifestations would suggest deterioration in this client's condition.
Clinical signs of deterioration in this patient's condition are :
- changes in vital signs
- altered mental status
- increased intracranial pressure
- altered pupillary response, postural
- bradycardia, decreased motor response
- decreased sensory response
- Cheyne-Stokes respiration
- coma
A closed head injury is an injury to the head that does not cause a skull fracture.
Strenuous movement can damage the brain and soft tissues. This can cause bleeding and swelling in the head.
Deterioration is a process of progressive degradation.
The main factors influencing the risk of exacerbation in patients with brain injury are age, anticoagulant therapy, and early GCS.
These studies also showed that the presence of the centerline shift/mass effect indicated adverse outcomes. In contrast, patients with isolated subarachnoid hemorrhage (iSAH) have the lowest risk of side effects.
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