[TNNURSE]

hmm....ok judging from the warped sense of humor here.....I think I have found my niche.I have had neuro pts before(er with chi) and also on a m/s floor......dont you love it when you leave them alone for one single minute...only to return and find they have dumped all the nurse serversdsgs (apx900$ worth) into their bsc.....and they hand you the room telephone that is dripping with some unidentified liquid and for some reason no longer works.
I have a pretty broad nsg background(13-14years)....with eveerything from er,m/s ortho,urology etc......but I am looking for an area where I can learn something new.....and neuro is somewhere I have NOT done yet.Ok.....educate me.....what is triple h therapy...is Haldol one of the h's(lol)?????

[NeuroICURN]

Originally Posted by TNNURSE

Ok.....educate me.....what is triple h therapy...is Haldol one of the h's(lol)?????

Triple H therapy is part of the standard care for patient's that have had a subarachnoid hemmorhage from an aneurysm rupture and then had a repair....either clipping or coiling.

The H's are: Hypertension, Hypervolemia and Hemodilution. So, essentially what they are attempting to do is to keep the vessels in the brain open so that they can't go into vasospasm, which is a HUGE, HUGE risk in these patients. Also used to prevent spasm is Nimodipine (a calcium channel blocker).

Any neuro ICU nurse will tell you that these can be some of the busiest and most trying patients that you will have! You have to have a dead-on accurate neuro assessment to really pick up the first signs of spasm in your patient....and often times, it's something as slight as a new pronator drift...not even a decrease in l.o.c.!

Once they do start to spasm...well that's a whole other ball of wax! Now that's a busy day!!!


P.S. Some days you wish that Haldol was part of that Triple H therapy!