A Case Report on Subarachnoid Hemorrhage

Abstract

Background: In many patients, bleeding is a warning sign, and continuous or recurrent haemorrhage necessitates a trip to the emergency room. Epistaxis is a frequent problem on its own, but when it is combined with otorrhagia, it may be a very painful experience. The diagnosis of the underlying etiology of spontaneous epistaxis and otorrhagia requires imaging evaluation. Brain computed tomography should be used to check for a raptured aneurysm or an underlying subarachnoid haemorrhage (SAH). Computed tomography is one of the most advanced diagnostic methods for detecting the underlying cause of SHA. Magnetic resonance imaging, angiography Angiography and digital subtraction angiography are two types of angiography.. Patients history :- My patient 34 year old admitted on 11/7/2021 in AVBR hospital in neuro ICU. he has a chief complaint of severe headache, fainting, double vision, Nausea, vomiting & spontaneous otorrhagia and epistaxis. Main symptoms & important clinical finding :- patient has various investigation like careful history , physical examination , neurological examination ,Complete blood Count , CT Scan MRI etc .                                                                                                    

Medical Management: - Medicine prescribed by doctors such as Diuretics are given to the patient such as injection Lasix, anti-hypertensive, Iv fluid given to patient such as dextrose to maintaining fluid balance. Nursing perspectives:-  Monitor vital of the patient per hourly maintaining the IV fluid .prescribe medicine as per doctor order .

Conclusion :- My client 34-year-old men he was admitted in  AVBR hospital on date 11-7-2021 With chief complaint of severe headache, fainting , double vision , nausea , vomiting & spontaneous otorrhagia and epistaxis etc. Patient had undergone all investigations and after that he was diagnosed as a subarachnoid hemorrhage.