- Teks
- Sejarah
4. Cerebrospinal Fluid LeakIt is un
4. Cerebrospinal Fluid Leak
It is uncommon for some head-injury patients with a skull fracture to leak CSF rom the ears or nose. This may result from a fracture in the anterior fossa near the frontal sinuses or from a baasilar skull fracture of the petrous portion of the temporal bone. In either case, the fractured bone causes damage to the thin meningeal tissues that lie adjacent, allowing CSF to escape. Any clear drainage from the nose or ears of the trauma patient should be considered CSF until proven otherwise. The presence of CSF can be detected by testing the clear, watery drainage for sugar using blood glucose test strips. Reagent strips designed to detect sugar in urine should not be used because the results may be misleading. CSF will be positive for sugar; mucus will not. Blood-tinged drainage should be collected on a sterile gauze pad and observed for the “halo” sign of blood surrounded by a clear or yellow-colored ring of spinal fluid. The presence of blood will make the results from blood glucose test strips inaccurate.
When CSF rhinorrhea or otorrhea has been detected, the drainage areas should not be cleaned, irrigated, or suctioned. A sterile pad may be placed under the nose or over the ear and should be changed when damp. The nurse must instruct the awake patient not to blow the nose os sniff and not to put a finger in the nose or ear. Drainage usually slows down quickly, and the dural tear closes without any problem.
It is uncommon for some head-injury patients with a skull fracture to leak CSF rom the ears or nose. This may result from a fracture in the anterior fossa near the frontal sinuses or from a baasilar skull fracture of the petrous portion of the temporal bone. In either case, the fractured bone causes damage to the thin meningeal tissues that lie adjacent, allowing CSF to escape. Any clear drainage from the nose or ears of the trauma patient should be considered CSF until proven otherwise. The presence of CSF can be detected by testing the clear, watery drainage for sugar using blood glucose test strips. Reagent strips designed to detect sugar in urine should not be used because the results may be misleading. CSF will be positive for sugar; mucus will not. Blood-tinged drainage should be collected on a sterile gauze pad and observed for the “halo” sign of blood surrounded by a clear or yellow-colored ring of spinal fluid. The presence of blood will make the results from blood glucose test strips inaccurate.
When CSF rhinorrhea or otorrhea has been detected, the drainage areas should not be cleaned, irrigated, or suctioned. A sterile pad may be placed under the nose or over the ear and should be changed when damp. The nurse must instruct the awake patient not to blow the nose os sniff and not to put a finger in the nose or ear. Drainage usually slows down quickly, and the dural tear closes without any problem.
0/5000
4. cairan serebrospinal kebocoranHal ini biasa untuk beberapa pasien trauma kepala dengan tengkorak fraktur bocor CSF rom telinga atau hidung. Hal ini dapat berakibat dari fraktur di fosa anterior dekat sinus frontal atau dari fraktur tengkorak baasilar bagian petrosa dari tulang temporal. Dalam kedua kasus, retak tulang menyebabkan kerusakan jaringan meningeal tipis yang terletak bersebelahan, memungkinkan CSF untuk melarikan diri. Setiap drainase yang jelas dari hidung atau telinga pasien trauma harus dipertimbangkan CSF sampai terbukti sebaliknya. Kehadiran CSF dapat dideteksi oleh pengujian jelas, berair drainase untuk gula menggunakan strip tes glukosa darah. Reagent Strip yang dirancang untuk mendeteksi gula dalam urin tidak boleh digunakan karena hasil mungkin menyesatkan. CSF akan positif untuk gula; lendir akan tidak. Drainase diwarnai darah harus dikumpulkan pada pad Kasa steril dan diamati untuk tanda "halo" darah yang dikelilingi oleh cincin jelas atau kuning berwarna cairan tulang belakang. Kehadiran darah akan membuat hasil dari glukosa darah test strip tidak akurat.Ketika CSF pilek atau otorrhea telah terdeteksi, daerah drainase harus tidak dibersihkan, irigasi, atau disedot. Pad steril dapat ditempatkan di bawah hidung atau atas telinga dan sebaiknya diganti kalau lembab. Perawat harus memerintahkan pasien terjaga tidak meniup hidung os mengendus dan tidak meletakkan jari di hidung atau telinga. Drainase biasanya melambat dengan cepat, dan air mata dural menutup tanpa masalah.
Sedang diterjemahkan, harap tunggu..
Bahasa lainnya
Dukungan alat penerjemahan: Afrikans, Albania, Amhara, Arab, Armenia, Azerbaijan, Bahasa Indonesia, Basque, Belanda, Belarussia, Bengali, Bosnia, Bulgaria, Burma, Cebuano, Ceko, Chichewa, China, Cina Tradisional, Denmark, Deteksi bahasa, Esperanto, Estonia, Farsi, Finlandia, Frisia, Gaelig, Gaelik Skotlandia, Galisia, Georgia, Gujarati, Hausa, Hawaii, Hindi, Hmong, Ibrani, Igbo, Inggris, Islan, Italia, Jawa, Jepang, Jerman, Kannada, Katala, Kazak, Khmer, Kinyarwanda, Kirghiz, Klingon, Korea, Korsika, Kreol Haiti, Kroat, Kurdi, Laos, Latin, Latvia, Lituania, Luksemburg, Magyar, Makedonia, Malagasi, Malayalam, Malta, Maori, Marathi, Melayu, Mongol, Nepal, Norsk, Odia (Oriya), Pashto, Polandia, Portugis, Prancis, Punjabi, Rumania, Rusia, Samoa, Serb, Sesotho, Shona, Sindhi, Sinhala, Slovakia, Slovenia, Somali, Spanyol, Sunda, Swahili, Swensk, Tagalog, Tajik, Tamil, Tatar, Telugu, Thai, Turki, Turkmen, Ukraina, Urdu, Uyghur, Uzbek, Vietnam, Wales, Xhosa, Yiddi, Yoruba, Yunani, Zulu, Bahasa terjemahan.
- TeksHalaman WebTukar bahasa sumber dan b
- Saved
- TeksHalaman WebTukar bahasa sumber dan b
- Lupakan aku untuk dia sayap sejati mu
- Dimana kamu tinggal
- Depressed, crying, hurt, aggraveted, dis
- Happy Birthday Dear 19 tahun mudah-mudah
- Molding
- siapa namamu
- Molding
- The SanDisk 64 GB Extreme CompactFlash M
- Jadi saya berpikiran negatif....
- how r u my fb friendwhear are you living
- tidak berpengaruh
- how r u my fb friendwhear are you living
- important to known
- Matrix
- TeksHalaman WebTukar bahasa sumber dan b
- saya tinggal di banda
- The crackling
- So i have got a negative thinking..
- In operant conditioning, schedules of re
- saya tinggal di banda
- Geese
