CVA: HEMORRHAGIC STROKE

PRECIPITATING FACTORS Lifestyle alcohol consumption, smoking Stress Diet eating habit Medication use: anti-coagulant amphetamine (illicit drug use)

PREDISPOSING FACTORS Age Gender Role African American Genetic DM History of: Aneurism Heart disease Atherosclerosis hyperlipidemia VASOCONSTRICTION

Uncontrolled/ long standing HPN Decrease elasticity of BV wall Out-pouching of blood vessels Aneurism Vessel Ruptures Bleeding Increase ICP DX: MRI, CT scan, Arteriography

Blockage of blood vessel Decrease tissue perfusion Decrease O2 and Nutrients supply Hypoxia

Disrupted Normal Brain Metabolism Motor Hemiplegia Hemiparesis Dysarthria Dysphagia Ataxia Altered brain process Vomiting Loss of consciousn ess Sensory Paresthesia Cognitive ST/ LT memory loss Decrease attention span Decrease ability to concentrate Poor abstract reasoning Altered judgment Cognitive Emotional lability Depression Feelings of isolation Fear, hostility, anger Withdrawal Visual Field Homonymous hemianopsia Diplopia Loss of peripheral vision

Compresses and Injures brain tissue

Decompression of nociceptors Severe Headache (Pain)

Early Restlessness Headache Papilledema Late Cushing Triad Decrease PR Decrease RR BP increase Systole, Normal to Decreased Diastole