Initial patient management

It is estimated that 10-15% of SAH victims die before reaching the hospital. Patients who survive the acute phase of SAH face many hazards that can lead to additional mortality and morbidity. The treatment of choice for a ruptured cerebral aneurysm is surgery; however, skillful medical and nursing care provides the patient with the best chance of recovery while a decision about surgery is made. Management of suspected SAH during the first few hours is critical.

Early Nursing Management:

Following initial stabilization, the treatment regimens include the following strategies:

The nurse plays a pivotal role in monitoring the patient with SAH for signs of early complications and in implementing the medical regimen.