Nurse Directory HOME ABOUT GET LISTED RSS Acute Biologic Crisis October 21st, 2011 Posted in Nursing

Articles Acute Biologic Crisis in medical term simply means hemorrhage. Hemorrhage on the other hand refers to a big amount of blood loss from a vessel, severe brain damage is said to take place in 3 to 5 minutes after the oxygen supply has been intermittent. Acute in laymans term refers to illness with a rapid or abrupt onset, generally with a short, severe course and requiring immediate treatment. Chronic is the opposite of acute, indicates indefinite duration or virtually no change. There are classifications of an Acute Biologic Crisis; in general the first one is the primary occurs at the time of operation, this is the time when a person undergoes an operation. In this procedure the patient needs to be calm and relax in order for the operation to be successful. Once the patient is not calm their might be an Acute biologic crisis happens. Secondly, is the intermediary, it happens within the first few hours of the surgery. During the operation the patient might experience biologic crisis, the doctors gives the patient medical remedies for the patient not to experience hemorrhage. Always listen to the doctors advice. Thirdly, is the secondary acute biologic crisis, it happens sometime after the surgery, this may occur after the operation of the patient, may experience bleeding but not that major as the acute biologic crisis. The doctor always advise the patient after a major operation not to lift heavy object after an operation, it needs for the patient some proper rest, take a break during and after operation. Because the wound still fresh it might open the stitches that may result from bleeding. The blood vessels are part of the circulatory system that transports blood throughout the body. The three major types of blood vessels are the arteries, capillaries, and the veins. Different blood vessels may harm the body according to capillary, the capillary are the smallest blood vessels and are part of the microcirculation, when the bleeding is dark in color and the bubbles comes out the venous is the one that affected. Venous is deoxygenated blood in the circulatory system. It runs in the systemic veins from the organs to the heart. When the arterial is the one that hurt bleeding with spurts and it is bight in color. Before any persons may experience this there might be a signs and symptoms happens, uneasiness, restlessness, raid perspirations and pulse rate, cold and moist skin, thirst and eventual drop in blood pressure. In managing this illness once happen hemorrhage from internal organs cannot be stopped except through surgical intervention. In this situation the role of the nurse is very limited for them to take measures that will promote the most efficient use of remaining blood. And the bleeding from extremities or periphery can be managed by elevating the patients, applying pressure and cold to the affected area so that may not turn to loss of blood of the patient. The patient may again stay in place and just relax for the bleeding to stop.
REFERRENCE: Nurse Directory (2011), Acute Biologic Crisis, retrieved June 25, 2012 from http://www.nursedirectory.net/articles/acute-biologic-crisis/#more-3454

Survivor Stories
Sharon, A Very Lucky Survivor from Malaysia Nineteen months ago, when I was 36 years old, on Monday 11am 6th Nov 2006, I was rushed to the Subang Jaya Medical Centre by my husband Ken when he saw me acting different. My speech was slurred and the right side of my face drooped downwards. I couldnt even stand straight. At 5pm that day, I was wheeled in to perform a 5 hour surgery to save my life. The doctors diagnosed me with Acute Intracerebral Hemorrhage, having had a stroke and told my family members I was in a critical condition with only a 30% chance of surviving. I had a ruptured brain aneurysm and was bleeding massively with blood pushing my brains to the left side. The bleeding could have started a few days before. My neurosurgeon was able to clip my broken vessel. My headache started on Tuesday and became very bad the next day. I went to a clinic and the doctor gave me medication. I didnt give it much thought because I am used to having headaches almost every month since adolescence. Normally my headaches would go away after a day and sometimes once or twice a year, I would have a bad headache until I threw up. All these would go away after a rest in bed. However by Friday midnight, my headache got worse and I had to lie down all the time and I kept throwing up. Ken sent me in to the hospital but the doctor sent me home after giving me a painkiller injection. I felt really horrible and requested a scan on my head. The doctor told me to make an appointment the following Monday with a neurosurgeon there. Luckily Ken didnt wait that long to send me in a hospital on that fateful day. Anyway I went home and slept for the next 2 days. It never crossed our minds that I could be dying! Before my surgery during consultation, another surgeon wanted to perform coiling on me but my surgeon insisted on clipping.(I am thankful for my surgeon on his decision and that saved my life!) My aneurysm is a highly complex multi-lobulated one and it is dangerous to perform coiling as I was already bleeding massively at that time. When I came to after surgery, all the nurses and doctors were very happy that I could talk and move all my limbs. Up to now my surgeon still says I am a very lucky person. Now I am living a normal life except for the occasional mood swings, forgetfulness and shorter concentration span. However I would still have to go for CT scans every year to monitor one aneurysm (residual part of my bi-lobed aneurysm and 2 very small out pouches in my head which could be aneurysms). If I had gone for a scan on the first or 2nd day of my headache, I might not have needed to have had open head brain surgery. If the bleeding hadnt started, I could have opted for the coiling procedure. My advice for people who have headaches is to at least go for a scan and do not wait too long to seek treatment. If I had waited any longer, I might not be here to tell you my story. Reference: Brain Aneurysm Foundation (2011), Survivor Stories, Retrieved June 25, 2012 from http://www.bafound.org/survivor-stories-1