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Syncope | Neurological Emergencies

Syncope and Weakness: partial loss of consciousness.
Monitor for cardiac dysrhythmias
Headache: serious causes are tumors, bleeding, hypertension, meningitis, poisoning.
Brain tissue has no nerves to feel pain, so all pain is from stretching or irritation of nearby structures:
Vascular: involves cerebrovascular circulation, constriction or dilation of cerebral vessels. Rapid onset of severe headache could be intracranial bleeding
Non vascular: infection, tumor, muscle spasm

Assessment: In addition to pain, there may be blurred vision, nausea and vomiting, vertigo, stiff neck. Bradycardia, hemiplegia, hypertension, unequal or pinpoint pupils, photophobia.

Management:
Monitor ABCs
Prepare for vomiting
Reduce bright lights
Ice pack on painful area
O2 10-15L via NRB

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