Nursing care of patient acute epidural hemorrhage: Case study 2 case

Abstract

Background : Head injuries with acute epidural hemorrhage are the emergency symptoms that can be cured if patients have diagnosis, surgeries and nursing care on time. This entire process can help patients survives and prevent them from complication that might occur.

Objective : The purpose of study to nursing care of patients were head injuries with acute epidural hemorrhage. Methods : This study was comparisons of two cases of patients with head injuries with acuteepidural hemorrhage. Of two cases were admitted at Department of Semi- ICU Surgery, Maha Sarakham hospital during October 2017 to January 2018. The data collections were from medical records, interview there relative and patient observation. The data analysis were compared functional health pattern, clinical, sign and symptom, increased intracranial pressure treatment, problem and nursing diagnosis, nursing care of patients with critical period, continuing care and discharge planning. Results: comparisons of two cases of patients with head injuries with acute epidural hemorrhage.

Cases one, female patient age 15 years and have accident by a motor-cycle hit a truck. The important symptoms 5 hours before came to hospital were headache, confused, pain at left side of leg and arm. The diagnosis of this patient was the acute epidural hematoma, Opened fracture left tibia and closed fracture left olecranon.

Case two, male patient age 47 years and have accident by a motor-cycle. The important symptoms 2 hours before came to hospital were headache and confused. The diagnosis of this patient was the acute epidural hematoma, hospital acquired pneumonia (HAP) and alcoholic withdrawal syndrome

Conclusion : This study revealed that patients with head injuries with acute epidural hemorrhage were have increased intracranial pressure. All of them need to used of endotracheal tube and have emergency surgeries to remove blood clotted. The nurses need to have the knowledge to evaluated patients and observation about abnormal symptoms and can help them on time and to prevent the complication of patient.  

Keywords : head injuries, epidural hemorrhage