A Stage of cerebral concusion occur almost immediately and maybe so Transient that it escape notice if seen the patient should be put almost prone (in coma position) with the head lowered as the cough and the swallowing reflex will be absent show that any bleeding from the mouth or regurgitation of food or fluid from stomach aur oesophagus runs out of the mouth and is not inhaled.
if not breathing the Airway should be cleared and if necessary artificial respiration started until medical aid comes.
observe bleeding. Sclap wounds bleed freely and can generally be controlled by a pad firmly bandaged ( using a crepe bandage) over bleeding sites until help comes and the scalp can be sutured. Intracranial hemorrhage maybe extradural and generally necessitates Corporation all the bleeding maybe subdural.
levels of consciousness. A nurse should be familiar with these noting the degree of responsiveness in order to be able to report indication of deterioration aur improvement. She should also be familiar with the observation and care of an unconscious patient.
discharge from ears and nostrils maybe blood but may also be cerebrospinal fluid escaping as the result of fracture of the base of the skull.
the state of the pupils if dilated or unequal the condition of reflex to light the presence of squint give variable information to a surgeon necessary observation include routine estimation of blood pressure temperature pulse and respiration the state of the skin as regards colour warmth sweating restlessness need for restraint of the present possibility of a distended bladder or need to empty the bowel indication of pain aur headache noiseless of the patient alteration and difficulty in a speech and difficulty in swallowing.
if not breathing the Airway should be cleared and if necessary artificial respiration started until medical aid comes.
observe bleeding. Sclap wounds bleed freely and can generally be controlled by a pad firmly bandaged ( using a crepe bandage) over bleeding sites until help comes and the scalp can be sutured. Intracranial hemorrhage maybe extradural and generally necessitates Corporation all the bleeding maybe subdural.
levels of consciousness. A nurse should be familiar with these noting the degree of responsiveness in order to be able to report indication of deterioration aur improvement. She should also be familiar with the observation and care of an unconscious patient.
discharge from ears and nostrils maybe blood but may also be cerebrospinal fluid escaping as the result of fracture of the base of the skull.
the state of the pupils if dilated or unequal the condition of reflex to light the presence of squint give variable information to a surgeon necessary observation include routine estimation of blood pressure temperature pulse and respiration the state of the skin as regards colour warmth sweating restlessness need for restraint of the present possibility of a distended bladder or need to empty the bowel indication of pain aur headache noiseless of the patient alteration and difficulty in a speech and difficulty in swallowing.
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