Nursing Interventions for Head Injuries
October 8, 2010 | In: Nursing Interventions
Nursing Interventions: Head Injuries
- Maintain a patent airway. Assist with endotracheal intubation or tracheotomy as necessary.
- Administer medications as ordered.
- Protect the patient for further injury by using side rails.
- Assist the unsteady patient with walking.
- Insert an indwelling urinary catheter if ordered.
- If the patient is unconscious, insert a nasogastric tube to prevent aspiration.
- Monitor the patient’s intake and output as needed to help maintain a normovolemic state.
- Monitor vital signs continuously and check for additional injuries.
- Observe the patient for headache, dizziness, irritability, and anxiety.
- Monitor fluid and electrolyte levels and replace them as necessary.
- Carefully observe the patient for CSF leakage.
- Tell the patient to return to the hospital immediately if he experiences a persistent worsening headache, forceful or constant vomiting, blurred vision, any change in personality, abnormal eye movements, and twitching.