Cerebral Aneurysm- weakness in the wall of a cerebral artery/wall causes a localized

dilation and ballooning of the vessel. Usually found at the circle of willis [anterior
part and internal carotid arteries]

Risk factors: hypertension, atherosclerosis, aging, stress, gender and congenital

defect

Classifications:

a. Small aneurysm: less than 15 mm

b. Large aneurysm: 25 to 30 mm

c. Saccular aneurysm: saccular outpoaching

d. Berry aneurysm: necks or stems resembling a berry

e. Fusiforn aneurysm: without stems

f. Super giant: greater than 50 mm

S/sx: headache, nausea, vision impairment, vomiting, loss of consciousness

Complication: vasospasm of cerebral arteries leading to stroke

Dx: CT, MRI, Cerebral angiography

TTT: Triple H (hypertensive, hypervolemic, hemodilution) treat this diseases

Medical TTT: surgical- aneurysm clipping

Endovascular coiling

Nursing Care:

-Altered cerebral tissue perfusion r/t interruption of blood flow by space occupying
lesion

1. Monitor V/s

2. Monitor neurological changes

3. Assess changes of vision and eye movement

4. provide rest and comfort

5. Monitor head and neck in midline or neural position

6. observe seizure activities

- Ineffective breathing pattern r/t neuromuscular impairment

1. monitor v/s

2. note competence of gag reflex

3. elevate HOB

4. Ausculate breath sounds

-Altered Sensory perception r/t altered sensory transmission secondary to

neurological trauma

1. assess sensory awareness and behavioral response

2. eliminate noise stimuli

3. speak in calm, quiet voice

4. provide meaning stimulation

5. provide use of day and night lighting

-Impaired physical mobility r/t cognitive impairment

1. assess the degree of immobilization

2. turn to side every 2 hours

3. maintain body alignment

4. provide eye care

5. monitor i/o and fluid tolerance