Find where the bleeding is
Apply pressure
Evidence based practice (EBP) involves the decision making that integrates the best available research with clinical expertise and an understanding of patient characteristics.
EBP in simple terms involves the application of the scientific theories and findings into real practice on the patients. In EBP, the choices and preferences of the concerned patients are given utmost priority.
This means that the usage of the old and traditional practices may be discarded. The benefit of applying this phenomenon is that it involves personally designing the care-chart of each patient according to their symptoms, therefore, providing the required treatments and avoiding unnecessary medications and treatments.
To know more about EBP, here
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Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
