A client with a confirmed aneurysmal subarachnoid hemorrhage is admitted to the neuro ICU. Which interventions should the nurse anticipate? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Aneurysmal SAH care: nimodipine 60 mg PO every 4 hours for 21 days reduces poor neurologic outcome from vasospasm (calcium channel blocker selective to cerebral vessels). BP is kept lower BEFORE the aneurysm is secured (under 160 systolic) to prevent rebleeding, then induced higher BP is used during vasospasm window if symptomatic. Vasospasm peaks days 4-14 and is monitored with serial neuro exams plus TCD. Stool softeners and other Valsalva prevention reduce rebleeding. Prophylactic triple-H is no longer recommended — induced euvolemia and BP augmentation only with symptomatic vasospasm.