By Abdul Qayyum Rana
Neurological Emergencies in medical Practice discusses neurological emergencies in a stepwise type together with stabilizing the sufferer, picking out the reason, and treating the underlying reason. it truly is invaluable in different settings together with the emergency room, health center in-patient carrier in addition to the extensive care unit.
Neurological Emergencies in medical Practice has a large charm and relevance to disciplines together with neurology, emergency medication, severe care drugs, inner medication and kinfolk drugs. clinical scholars and citizens might use this useful, pocket-sized booklet to arrange for and achieve their education examinations and it's also worthwhile for different residence employees and practising physicians.
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Extra info for Neurological Emergencies in Clinical Practice
Internal medicine consultation is required. M. may be given initially. Psychiatry consultation is required. Seizures: Postictal confusion often follows a seizure. This improves over time. If there is a known history of seizures, then treatment should be directed toward preventing further seizures. (Please see Chap. ) Nonconvulsive status epilepticus: If nonconvulsive status epilepticus is suspected, continuous EEG monitoring is required. Treat per protocol (see Chap. 16). Demented patients: Patients should be stabilized.
V. fluids. (d) Cardiac monitoring is required because arrhythmia can occur. (e) Tylenol® may be used PRN if no hepatic impairment is present. 6. V. V. Internal medicine consultation is required. V. fluids. Correct acidosis, potassium, and other electrolyte abnormalities. Internal medicine consultation is required. (c) Hyponatremia: Sodium must be corrected slowly, as too rapid a correction of hyponatremia may lead to central pontine or extra-pontine myelinolysis. Internal medicine consultation is required.
C) Hyperventilate to lower paCO2 to 25–30 mmHg and induce intracerebral vasoconstriction which helps reduce intracerebral pressure . (d) Neurosurgical consultation is required. 2. Cytotoxic edema, as seen in stroke, can cause herniation. V. infusion. Titrate to a serum osmolality of 300–320. This only has a temporary effect but is helpful when the patient is waiting for the neurosurgical intervention. (b) Neurosurgical consultation is required. 3. V. I. prophylaxis (gastric mucosal protection) and blood glucose monitoring.