A+ SDH ??? ???(SDH case study) ????10? + ??2?

#1. Nsg Dx. :
???? ??? ??? ? ?? ????? ???

Subjective data
¡°?0?? ? ??? ??????..¡±-SN

Objective data
???: SDH, Craniostomy??(12.9), mental-stupor
??? CT? ????? ??. ?? ??? ????? ????? ??,
GCS:7?~10????,
Pupil size(R,L:2/2->5/6mm) ,147/93 BP??(12/15~)
EVD???(12/9) ,Hemo-vac(12/9~13)???
Fever ?? 37.4¡æ ?? ?? ???
??? ??? ??.

????
short term goal
12/22??? ? ??? ??? ???? ???? ???? ????? ??(LOS)? ???? ???.
12/22??? BP? 145?? ??? ??? ????.

plan
1. ??? ??
????? ????. ????? ????, ????? ????. ????? 1???? ????.
2. ??? ??
??? ????, ??? ??? ??? ??. ????? ??? ??. ?? ???? ??? ??? ???.
3. ??? ??
:????? ? ?????? ??? ???????? ????? ???? ???? ?? ??? ? ??.

Implication
??? ??
¢Ù????? ????? ?????. (????? ??? ??? ??? ??? ???? ????? ?????? ??? ??.
¢Ú????? ??? ?????. (?????? ICP ?? ??? ????? ??, ??, ???? , ??? ??, ??? ?? ?? ????.
¢Û. ???? ???? 4???? ?????. ( ??? ?????? ??? ??? ? ?? ?? ???? I/O? ?????? ??? ? ??.)

??? ??
¢Ù SaO?? ???? ??? ??? ????. (??? ???? ????.)