%0 Journal Article
%T Monitoring in the Treatment of Patients with Aneurysmal and Nonaneurysmal Subarachnoid Haemorrhage in Terms of Nursing Care and Therapy
%A £¿ustovi£¿
%A Mirsada
%J -
%D 2019
%R 10.24141/2/3/1/1
%X Sa£¿etak Cerebrovascular diseases together with cardiovascular and malignant diseases are the most common diseases in the developed world, regardless of the gender. They are at the third place as the cause of mortality and first as the cause of disability. Subarachnoid haemorrhage is a condition of discharging blood from cerebral arteries into the subarachnoid space within the brain. Subarachnoid haemorrhage (SAH) has a number of etiological features, but when it comes to spontaneous subarachnoid haemorrhage, in 80% of the cases it is caused by the rupture of an intracranial aneurysm. Subarachnoid haemorrhage (SAH) can be spontaneous and traumatic (post-traumatic). Also, it could be primary (direct bleeding into the subarachnoid space) or secondary (parenchymal bleeding to the subarachnoid space of the brain). Cerebral aneurysms are a local expansion in the blood vessel wall usually at the bifurcation of the artery. If cerebral artery ruptures and blood enters the subarachnoid space, the patient can have a very strong headache at the back and front part of the head. Short term memory can be affected as well. The initial assessment of patients should include: an overview of the quantitative state of mind, pupil size and reaction to light, motor and sensory function, the presence of headaches, dysfunction of cranial nerve (ptosis of the eyelids, difficulty moving eyes in all directions) blurred vision, aphasia, other neurological deficits). Several serious complications often arise after a successful operative treatment of the subarachnoid haemorrhage and aneurysm. One such complication is cerebral vasospasm, and is present in 50 to 70% of the patients. Late complications include recurrent bleeding, brain edema, chronic hydrocephalus and as most important - brain infarction. The incidence of subarachnoid haemorrhage ranges from 10-15/100 000 inhabitants. About 20% of the patients with spontaneous subarachnoid haemorrhage are younger than 45 years, while patients older than 70 years have a less positive prognosis of survival. Spontaneous subarachnoid haemorrhage is a disease of the middle age (55-60 years) with a relatively high mortality and morbidity. The prevalence of patients with an intracranial aneurysm is unknown, but it is assumed to be of higher incidence than subarachnoid haemorrhage. Approximately 10-15% of the patients die before they reach the physician, 10% die within the first few days, while the mortality rate in patients with all forms of subarachnoid haemorrhage is up to 45%. Morbidity is significant, considering that 66% of the patients
%K subarachnoid haemorrhage
%K aneurysm
%K monitoring
%K neurosurgical nurse pre and postoperative care
%K vasospasm
%K nosocomial infections and complications
%U https://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=324250