HEALTHSTREAM ICU Knowledge Guide

Intracranial hemorrhage's goal for treatment? - Stop bleeding. Decrease icp. Subdural hematoma? - bleeding between covering of brain (dura) and surface of brain. Compress brain tissue , leadin to brain dead. Most pt do not recover. Epidural hematoma? - covering of the brain (dura) peel away from skull (from skull fracture). Wake up and die. Changes in vital signs are late signs. SubArachnoid hemorrhage (SAH)? - aneurysm of artery in brain, causing rupture. This is a type of hemorhagic stroke. Risk for repeated bleeding is 35% within. First 14 days post first bleed. Vasospasm is a common complication of SAH. Cerebral angiogram can dx cerebral aneurysm. A ruptured aneurysm has a risk for death of 40% , 08% disable after rupture.