Advanced Pathophysiology for the Advanced Practice Nurse
Aneurysmal, Subarachnoid, Hemorrhage
Medicine and Health Sciences | Nursing
“Aneurysmal subarachnoid hemorrhage (aSAH) is the most devastating type of stroke” (Yu, et al., 2018). When an aneurysm forms at a vessel bifurcation, it weakens the walls of the vessel. This in combination with high intravascular pressure can cause a rupture of the aneurysm, which displaces blood into the subarachnoid space in the brain. A patient who presents with an aSAH is at risk for further complications including, but not limited to, delayed cerebral ischemia, seizures, and aneurysm re-rupture (Darsie & Moheet, 2017). Close monitoring and aggressive treatment are imperative for the preserving neurological function in these patients.
For many nurses, the neurological system serves as a weakness in their knowledgebase. It is a specialized field requiring specialized care. As a registered nurse working in a comprehensive stroke center, it is easy to identify the importance of education related to treating neurological patients and the close monitoring involved in their treatment. Continued education is a key part in reducing morbidities and mortalities in these patients. By giving both nurses and providers a better background in treatment options, they can feel more comfortable and confident in the care they are providing to their neurological patients.
Schwaderer, Paxton, "Aneurysmal Subarachnoid Hemorrhage" (2019). Nursing Student Class Projects (Formerly MSN). 373.