SUBARACHNOID HEMORRHAGE

Abstract

Spontaneous subarachnoid hemorrhage (SAH) in the biggest number of casies appears as consequence of rupture of aneurysms, most common of internal carotid arterie, front communicating or middle cerebral artery. The size and localization of aneurysm are meaningfull independent prognostic factors. According to accomodation on brain blood vessels of aneurysms are divided to aneurysmof front and back brain circulation (excatly carotide and vertebrobasilar basin). Outcomes of treatement are importanly unfavorable with pacienta of aneurysm of back circulation because of relative surgeon unavailablenes and proximity of brain tree. Clinicly subarachnoid hemorrhage is manifested by sudden headache which is main clinic sign and most common is described as kick, or explosion i the head as the biggest headache they ever had, consciousness disorder with signs of increasing of intercranial pressure, neck stifness as well as symptoms of vomiting, sickness, photophobia, bleeding of eye bottom and rarely focal neurological outbursts. Diagnostyc metod of choice is computerized tomography with angigraphy whic is golden standard in provement aneurismatyc wideness of brain blood vessels and bleeding from it. Respondents are pacients who have been admitted to the department, 80 ofthem, in time of period between Decembar 2018 and January 2019. With this research data was obtained that the most common reason SAH bleeding rupture of cerebral aneurysm, that it appears at a younger age which is worry ingfact, a causal relation has been established in between vital parameters which were tracked and test of CT, and to data which show that big regional area, which belong to KCT, could be reason of patient dead. Nursing care about this patients , because of specific condition caused by SAH which is defined as unableness of taking self care which is indespensible and very important in the proces of treatement and rehabilitation. According to mortality rate, cerebrovascula rdiseases are taking second place in the world, not including todays situation with COVID which is nowadays being spoke alike the most common cause of mortality rate of population, and first place as cause of f ormation of temporary and permanent immobility at patient who survived