Elevated intracranial pressure for example, due to intracranial hemorrhage.Rebound hypertension after holding home antihypertensives. Potential causes of hypertension may include:.Postoperative hypertension could increase the risk of intracranial hemorrhage and edema, so it should be avoided.Neuroimaging (often beginning with a CT scan +/- CT angiography or CT venography, depending on the level of concern for arterial or venous injury). Cerebrospinal fluid analysis (either lumbar puncture or sampling fluid from a ventricular drain).ABG/VBG if there is a clinical concern for hypercapnia (e.g., in a patient with chronic COPD or obesity hypoventilation).Electrolytes, renal function, Ca/Mg/Phos.Current Medication Administration Record (MAR).Evaluation of vital signs (hemodynamics, oxygen saturation, adequate respiratory efforts, temperature.).Investigations to consider to evaluate neuroworsening: Diabetic ketoacidosis in the context of type I diabetes.Withdrawal of chronic medication therapy (e.g., Parkinson's medications).Hepatic encephalopathy in the context of cirrhosis.Hypercapnic encephalopathy in the context of baseline COPD or obesity hypoventilation syndrome (OHS).Exacerbation of a pre-existing medical problem, for example:.Hypothermia (e.g., due to hypothalamic injury).Vasospasm (uncommon, but may occur following skull base surgery).Intracranial hemorrhage (e.g., intracerebral hemorrhage, subdural hematoma, epidural hematoma).Especially ideal for patients who often have difficulty making the trip to their physician’s office, this at-home therapy includes easy-to-use garments that attach to the compression pump.Approach to neuroworsening after cranial surgeryĬommon causes of neurologic deterioration include: Experts note that Lympha Press is particularly effective at addressing the fibrosis associated with lipedema and the Lympha Press Optimal Plus is cleared by the FDA for the treatment of lipedema in the United States. Like lymphatic drainage massages, pneumatic compression works by pushing the fluids back toward the center of your body. Many patients find pneumatic pumps to be one of the most helpful options. This can be difficult, though, because fat cells have a somewhat liquid consistency - lipedema is often misdiagnosed as other fluid retention conditions.Ĭompression therapy is one of the most effective treatments for lipedema. Unfortunately, because so much mystery clouds the condition, it is rarely predictable or preventable - though its progression can be slowed if diagnosed in its early stages. The cause of lipedema is unknown, though some experts believe it is related to hormonal fluctuations associated with puberty, pregnancy, and menopause. Other symptoms of lipedema include easy bruising and tenderness of the impacted tissue. As air pressure is applied by the device, your limb experiences gentle changes in fluid movement for an overall therapeutic benefit. Pumps such as a lymphedema pump for legs and a lymphedema pump for arms not only relieves your existing condition but prevents it from becoming worse.Ī pneumatic compression device for lymphedema consists of an air pump and a sleeve that fits over your extremity, typically your legs or arms. Lymphedema pumps for home use are intended to be an extension of your physician’s care, allowing you to experience consistent long-term treatment in the comfort of your home. However, leg compression can be done at home and is quite effective because it reduces swelling and encourages the movement of lymph fluids on a daily basis. MLD is typically performed by a specially-trained lymphedema therapist in a medical environment. The gold standard of lymphedema treatment is a combination of manual lymphatic drainage (MLD) and a compression machine for lymphedema. Lymphedema is a chronic condition that begins with mild swelling and progresses to severe swelling, skin changes, infections, and irreversible complications.
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