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OCCUPYING
LESION
Presented by:
Elaine Moser Bano, RN.
Hypertension
Diabetes Mellitus
Bronchial Asthma
Tuberculosis
*Present admission
*Previous Operation
*Allergies
FAMILY MEDICAL HISTORY:
Hypertension
Diabetes Mellitus
Asthma
Malignancy
PATHOPHYSIOLOGY
Predisposing factor:
Precipitating factor:
Genetics
Swelling/ Hemorrhage/Edema
Increase absorption of
CSF
confusion
headache
seizures
If treated:
If not treated:
2. Headache
Description
Gradual compression of the
brain by enlarging lesion, as
its compensatory adjustments
may occur through
compression of intracranial
veins.
Common symptom, worsen
by coughing, straining or
sudden movement. It is
caused by the mass invading
compression or distorting the
pain sensitive structures or by
edema that accompanies the
lesion. Dull and unrelenting.
Present
4. Seizure
5. Visual disturbances
- Homonymous
hemianopsia
- Nystagmus
6. Vomiting( Projectile)
7. Nausea
DIAGNOSTIC TEST:
Description:
a. CT SCAN
b. MRI
c. Cerebral Angiography
d. ECG
e. Cytology
f. Xray
MEDICAL MANAGEMENT:
DRUGS:
a. Corticosteriods
b. Antihypertensive
c. Osmotic agents
( mannitol, glycerol)
d. Anticonvulsant (phenytoin)
e. Pain relievers
SURGERY:
a. Radio surgery
b. Radiation therapy
c. Craniotomy
mass.
Conventional surgical approach that
requires an incision into the skull to
release tension.
NURSING MANAGEMENT:
INDEPENDENT NURSING MANAGEMENT:
1. Neurologic checks/ flow chart - monitor cognitive and comprehension of the pt some of
them experience neurologis dysfunction.
2. Monitor Vital signs- to determine if there are changes and abnormalities that the patient
is manifesting.
3. Reorients the patient when necessary to person, time, and place- use of orienting
devices( personal possesions, photograph, list, clock)
4. Prevention of injury- patients with seizures and paralysis is closely monitored.
5. Glasgow Coma scale/ Motor function evaluation- is checked at intervals because
specific motor deficits may involved.
6. Assisting in Self Care- additional support system is needed by them to make their
activities of daily living.
7. Render health teachings- in imparting knowledge the patietn will be able to lessen the
tendency of injury and harm and be able to have idea on how to prevent further
complications.