Information ⬇
- Closely follow serum electrolytes and osmolality; hyponatremia (“cerebral salt wasting”) frequently develops several days after SAH, and supplemental oral salt plus IV normal saline or hypertonic saline may be needed to overcome renal losses.
- Anticonvulsants are sometimes begun until the aneurysm is treated, although most experts reserve this therapy only for pts in whom a seizure has occurred.
- Blood pressure should be carefully controlled, while preserving cerebral blood flow, in order to decrease the risk of rerupture until the aneurysm is repaired.
- All pts should have pneumatic compression stockings applied to prevent pulmonary embolism; unfractionated heparin administered subcutaneously for deep-vein thrombosis prophylaxis can be initiated immediately following endovascular treatment and within days following craniotomy and surgical clipping.
Outline ⬆