nursing care plan for coma secondary to epidural hematoma?
Epidural hematoma This is bleeding above the dura mater (between the periosteal lining of the skull and dura mater) Bleeding is usually caused by arterial bleeding from a torn middle meningeal artery. It is often associated with a fracture of the temporal bone. The clot presses on the brain and this can cause rapid herniation and death. Nursing management of Comatose patient with an epidural hematoma: : 1.) Monitor LOC using the Glasgow scale or some other objective scale. 2.) Assess motor responses bilaterally, check for positive Babinski 3.) Assess for decreased sensory response bilaterally but with special emphases on the side opposite the injury. 4.) Monitor pupillary dilation and response to light. Note precisely the size of the pupils in mm Notify the physician immediately if dilation of pupils occurs. 5.) Monitor vital signs. Notify physician if any deviation from parameters. 6.) Provide nursing measures related to respiratory care. That would include suctioning, doing blood gas
