Intracerebral hemorrhage questions and answers

Health Description
Health Consultation Description: Hello. I am a student nurse and I working on my nursing care plan. I have to give a rationale for lab values abnormals. Well, I have a patient that is diagnose with an intracerebral hemorrhage. His has low lab values in: RBC 3.33, Hct 33.6, and Hgb 10.9. Also my patient has a high Cl- 112. I need help coming up with rationales for these abnormals. I figured that the RBC, Hct, and Hgb is low because of the cerebral hemorrhage resulting in bleeding in and around the brain.


Expert Reply

Condition analysis:
First, chlorine level is slightly elevated, this is negligible.

Secondly, I am not sure about your explanation of low RBC an Hgb. intracerebral hemorrhae is serious because it affects brain which is very sensitive to any kind of bleeding., but Hgb fall must be caused by much intense bleeding or by chronic anaemia. If these are values which you noticed now and his blood picture was normal before then intraadbominal bleeding should be considered. This isnt serious anaemia, but if on repeated tests after 1-2 days you find progreession of hgb fall till 80 then this can be something worrying.Wish you good health.

Instructions:
Long-term outlook: Recovery following ICH differs greatly from person to person and will depend on a variety of factors. These include your age and overall health, the location of the hemorrhage, and the extent of the damage.

Some people may take months or years to recover. Most ICH patients have some long-term disability. In some cases, around-the-clock or nursing home care may be necessary.

Stroke support groups can help people and families cope with long-term care. Your doctor or hospital can provide information about support groups that meet in your area.



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 Key words:  Intracerebral hemorrhage

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