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blood
ICP increases from blood in subarachnoid space
Reduced perfusion
Vasoconstriction
Homonymous hemianopsia ------->loss of half the visual field of each
eye
How is CVA diagnose ? ------->Cranial CT Scan
MRI
Doppler flow studies
Ultrasound imaging
Presenting symptoms
FAST
If patient is have a hemorrhage stroke which drug NOT to give ?
------->tPA
Left Hemisphere stroke ------->Right side brain loss
Aphasia loss of ability to speak
Agraphia loss of ability to write
No memory loss
Unable to discriminate words and letters
Problem reading , altered intellectual ability
Deficits in right visual field
Behavior change, slow and caution
Modifiable Risk factor for Stroke CVA ------->Hypertension
Atrial fibrillation
atrial flutter
Diabetes Mellitus
Smoking
Obesity
physical activity
diet
High Cholesterol
carotid stenosis
clotting disorder
alcohol consumption greater than 2 drinks per day
atherosclerosis
contraceptive
street drugs cocaine heroin
Motor Disorders of CVA ------->Flaccidity
Hemiplegia
Hemiparesis
Non Modifiable Risk factor for Stroke CVA ------->Age, Advance in age
TIA transient ischemic attack
Family history
Race, African American
Prior Stroke
heart attack
Nursing Care: for TIA Stroke ------->Monitor and assess frequently
Neurological assessment q4 hours and prn
Vital signs q4 hours and prn
Acetylsalicylic/Aspirin
Prevents platelets from clumping or aggregating.
TIA & CVA prevention.
Side Effects: bleeding, GI upset
Nursing Diagnoses ------->Impaired physical mobility
self care deficit
Impaired urinary elimination
Impaired verbal communication
Ineffective coping
Ineffective family coping
Disturbed body image
Nursing Interventions:
Prevention of further strokes ------->Treat headache
Decadron medication to decrease ICP.
Positioning alignment
Assistive devicespillow props, positioning pillows,
protection of airway
ROMpassive
Calm, quiet environment
Prevention & Health Promotion CVA
Teaching: ------->Prevention of further strokes
Health promotion
Signs and symptoms of complications
Medication teaching
Safety measures
Follow-up care after discharge
Right Hemisphere stroke ge ------->Left side brain loss
May be alert and orient
Disoriented
Cannot recognize faces
Loss of depth perception