Nursing care of Head Injury patient with epidural Hemorrhage with sepsis: Case study 2 case

Abstract

Background: Head injury associated with a subdural hematoma. It is an emergency situation that when received Quick diagnosis Timely surgery receive appropriate and effective nursing care will be able to make the patient recover normally and prevent complications that may occur to patients

Objective: To study nursing care for patients with head injuries and hemorrhage above the outer membrane of the brain. Infection in the bloodstream

Method of study: Two purposive case studies based on the 11 Gordon Model concepts.

Results: Comparison of 2 patients with head injury with hemorrhage above the outer membrane of the brain and with sepsis.

Case 1: 43-year-old Thai male patient was in an accident driving a pickup truck into an electric pole. There was another wound on the head. Found unconscious in the back of the car 5 hours before coming to the hospital, received a diagnosis of Acute epidural hematoma with sepsis.

Case 2:  15-year-old Thai male patient drove a motorcycle and crashed into a pole. 2 hours before coming to the hospital, the diagnosis was Acute epidural hematoma with Fracture Right clavicle with sepsis.

Conclusion : This study shows that patients with head injuries associated with hemorrhage above the outer meninges. Symptoms will deteriorate and show clear symptoms of elevated intracranial pressure. He had to be intubated and treated. with urgent surgery to remove the blood clot Nurses must use their knowledge and ability to assess. Including watching out for abnormal symptoms closely and provide assistance to patients quickly and in time Preparing before selling with a format will make relatives born. Knowledge  and confidence in caring for patients to keep the patient safe from complications.