title: Nursing role on preventing secondary brain injury.
abstract: Secondary brain injury is a complicated, multifactorial process that results from hypoxemia, hypercapnia or hypocapnia, and increased ICP. Implementation of a traumatic brain injury protocol for patients with head injury including hemodynamic management, pulmonary care, maintenance of body temperature, control of the environment, positioning of patients, and seizure prophylaxis provides critical care nurses a proactive means to prevent or minimize the development of secondary brain injury in the emergency department.
authors.affiliation: Florence Nightingale College of Nursing, Istanbul University, 80270 Istanbul, Turkey. sevimak@superonline.com
authors.forename: Sevim
authors.initials: S
authors.lastname: Celik
authors.forename: Güler
authors.initials: G
authors.lastname: Aksoy
authors.forename: Neriman
authors.initials: N
authors.lastname: Akyolcu
mesh_terms: D001463:Barbiturates / Q000627:therapeutic use; D001930:Brain Injuries / Q000097:blood / Q000150:complications / Q000451:nursing* / Q000517:prevention & control*; D003422:Critical Care / Q000379:methods; D016529:Emergency Nursing / Q000379:methods*; D005334:Fever / Q000209:etiology / Q000451:nursing / Q000517:prevention & control; D015600:Glasgow Coma Scale; D006801:Humans; D006985:Hyperventilation / Q000209:etiology / Q000451:nursing / Q000517:prevention & control; D007036:Hypothermia, Induced / Q000379:methods / Q000451:nursing; D024802:Nurse's Role; D009994:Osmolar Concentration; D011187:Posture
chemical_list: D001463:Barbiturates