A patient who sustained a subarachnoid hemorrhage was placed on subarachnoid (
• This question asks you to identify the option that is most appropriate for the patient on subarachnoid (aneurysm) precautions.
• Stool softeners or laxatives should be provided to promote easy bowel movement without straining. Straining during defecation would increase intracranial pressure (ICP).
• Subarachnoid (aneurysm) precautions are focused on reducing stimuli that could increase the patient’s intracranial pressure. Additionally, there must be suction equipment and oxygen at the bedside.
• Effective ways to limit stimuli include dimming the lights and decreasing environmental noise and noxious stimuli.
• Incorrect: Enemas are avoided because they can lead to straining to evacuate the enema which further leads to increased ICP.
• Incorrect: Television and bright lights increase stimuli which can contribute to increased ICP.