Caring for people with carotid artery rupture.

摘要

In the second of three articles, the authors discuss the care of people with carotid artery rupture. Carotid artery rupture is a potentially fatal condition that requires swift action on the part of the nurse who is present. The size of the rupture and the prognosis for the individual patient determines whether or not active resuscitation is undertaken. The multi-professional team should decide, in advance of an impending rupture, on the optimum plan of care. Calm, careful explanations should be given to patients and relatives and the decision regarding resuscitation should be recorded in the patient's notes. In the event of unforeseen circumstances where a rupture occurs, an active nursing care plan should be instituted and care taken to keep relatives well informed. The patient's airway should be kept clear through the use of suctioning, inflation of tracheostomy tube cuff and correct positioning. Sedative drugs and palliative care may subsequently be necessary. Support and help should be given to all who witness or are involved in the care of these patients.