PATHOPHYSIOLOGY OF SUBDURAL HEMATOMA

PREDISPOSING FACTORS:
PRECIPITATING FACTOR:
Age:64 years old
Traumatic Brain Injury related to blunt face and
Gender: Male
questionable fall.
Hypertensive since 2010

Renin is released by the kidney CBC reveals elevated WBC count:

Release of kinins, histamine and other chemicals
in the bloodstream 10.9
LEGEND
Signs and symptoms
Nursing Diagnosis Capillaries become leaky CT Scan minimal soft tissue swelling,
right frontal orbital areas
Diagnostic tests Renin help convert angiotensin
Drugs I in the liver Edema because of fluid into tissue
A- PNEUMONIA
B- COPD
C- Risk for CAD Angiotensin I is converted in angiotensin II Acute pain related to ongoing
Swelling and Pain
inflammatory process

Aldosterone caused Na Increases intracranial volume

and H2O retention
Tramadol (IV)

Increase intracranial pressure

Retained sodium
Risk for fluid volume excess and water increase
blood volume
Pressure in the blood vessels within the Dizziness
brain causes blood flow to the brain to
slow.

Risk for fall

Constriction of blood
Losartan Increase BP: 140/90 vessels increase
vascular resistance
References:
 Brunner,L. and Smeltzer, S. Macropathy
(2008) Brunner and Suddarth Neuropathy
textbook of medical surgical
nursing Philadelpia:Lippincott
Williams and Wilkins Increase heart workload
Cause abnormalities of the
 http://www.mayoclinic.com
internal elastic lamina of
/health/pneumonia/DS0013
the arterial wall
5 Decrease stroke volume
 http://www.healthscout.com/
ency/1/205/main.html
 http://www.mayoclinic.com Blood vessel develops Decrease cardiac output
/health/COPD/DS0023/DS weakness or destruction
ECTION=treatments-and- of medial layer
Decrease oxygen perfusion Risk for Ineffective peripheral
drugs
tissue perfusion
Weakened part of the arterial wall
Fatigue
becomes enlarge due to continuous
increase vascular resistance

Activity Intolerance related to

neuromuscular deficiency
Rupture of vessels.

CBC reveals decreased RBC count:

4.30
CT SCAN reveals minimal subdural Subdural hemorrhage Tranexamic acid
hemorrhage

Blood clot formation

Disoriented to time Disturbed thought
place and person process
Mannitol &
Leviteracetam Increased ICP and brain compression
Ineffective cerebral tissue
perfusion