Patient's question:
Work-related injury, convulsed twice on the third day after birth, diagnosed with intracranial hemorrhage via CT scan. Previous treatment and outcomes: Unknown. Regarding assistance: Contact me via phone, I would like to consult a few times.Doctor's answer:
1. To prevent skin breakdown, cold exposure, restlessness, exercise, oxygenation, and to minimize crying-induced skin breakdown, gather for nursing and emergency care. Pay attention to maintaining airway patency. For those without vomiting, elevate the upper body by 15-30 degrees to reduce intracranial pressure. For those with vomiting, lie flat with the head turned to one side to prevent aspiration, and it is advisable to insert a nasogastric tube for feeding. If intravenous fluid volume interferes with vomiting, adjust according to the condition of dry heaving, heart and kidney function. Administer vitamin K 15mg intramuscularly or intravenously once daily, alternating for 3 days. Premature infants may be reduced accordingly, and vitamin C may be added. Other hemostatic agents such as tranexamic acid can also be used. Small amounts of fresh blood or fresh frozen plasma (10ml/kg) can be administered to aid in coagulation matrix digestion and correct anemia.