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.

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

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