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CVA. aka. Stroke

Temporary neurological deficit caused by impairment of cerebral Blood flow. Blood supply to part of the brain is blocked temporarily Transit ischemic attack TIA
Predominant modifiable risk factor Hypertension
Medication that anyone with a TIA should take Aspirin
An abrupt impairment a brain function resulting in a set of neurologic signs and symptoms that are caused by impaired blood flow to the brain and last more than 24 hours Stroke
Hemorrhagic and ischemic Types of stroke
Third leading cause of death in the US and first leading cause of disability STROKE!
First imaging test you should always do with signs and symptoms of a stroke. It is looking for bleeding to determine what kind of stroke. CT scan
Loss of ability to understand or expressed speech caused by brain damage Aspasia
Slurred speech Dysarthria
Inability to generate or even comprehend speech Dysphasia
Inability to willfully move Dyspraxia
Paralysis of One side of the body Hemiplegia
Impairment of one or more of your senses Sensory impairment
Inability to remember affected side of body from a stroke Unilateral neglect
Losing one side of your vision Homonymous hemianopsia
Loss of bladder sensation Elimination disturbances
During the acute phase medical treatment what is the major focus area Hypertension, oxygenation, hyperthermia, hyperglycemia
How long from initial stroke symptoms do you have to use TPA Up to Three hours
Drug therapy during acute phase TPA, mannitol, nimodipine, phenytoin, acetylsalicylic acid. You can use calcium channel blocker‘s to prevent spasms
Assessment, health history, physical examination Nursing care in the acute phase
Deficient blood and oxygen supply to the brain due to an occlusion that could be thrombotic, or embolic Ischemic stroke
Caused by bleeding or leaky blood vessels causes abnormal accumulation of blood within the brain Hemorrhagic stroke
Age, race, family history, Gender Non-modifiable risk factors
Hypertension, diabetes, lack of exercise, alcohol, smoking, drug abuse, hyperlipidemia Modifiable risk factors
Confusion, slurred words, difficulty swallowing, to potty thinking, paralysis or numbness of the face armor legs, probably seeing in one or both eyes, headache, trouble walking Signs and symptoms of a stroke
The worst headache in your life Signs and symptoms of a hemorrhagic stroke
Control high blood pressure, lower cholesterol, quit smoking, manage diabetes, exercise regularly, treat obstructive sleep apnea, avoid illegal drugs Prevention of a stroke
Focuses on controlling the bleeding and reducing pressure in your brain caused by the excess fluid Emergency treatment of a hemorrhagic stroke
Endovascular procedures, carotid endarterectomy, angioplasty and stent,IV administration of TPA Emergency treatment of ischemic stroke
Recent brain bleed, or injury. Blood pressure over 180/110, recent surgery less than 14 days, G.I. hemorrhage within the last three weeks Do not administer TPA under these conditions
Focuses on helping you recover as much function as possible and return to independent living Stroke recovery and rehabilitation
Surgeon, psychiatrist, dietitian, physical therapist, occupational therapist, recreational therapist, speech pathologist, psychologist, chaplain, nurses, doctors Interdisciplinary team members that may be needed for recovery and rehabilitation
Give antipyretics such as Tylenol, and apply cold packs. Give calcium channel blocker’s. Give insulin. Give oxygen How to treat hypothermia. Hypertension. Hyperglycemia. Depleted oxygenation
In adequate oxygenation, potential injury, potential for fluid volume in balance, in adequate nutrition, elevated body temperature, potential for impaired cognition, inability to communicate effectively, impaired mobility, urinary Incontinence and difficu Required intervention in the acute phase
Inadequate self-care, potential injury, and adequate Coping, inability to communicate effectively, in adequate nutrition, impaired mobility, constipation, impaired urinary elimination and functional urinary incontinence Requires interventions in the rehabilitation phase
There are two main causes of stroke. Blocked artery which is an ischemic stroke. Or leaking or bursting blood vessels which is a hemorrhagic stroke there is also a temporary disruption of blood flow to the brain known as transient ischemic attack that doe Quick and simple reference to strokes
Created by: Michelle McCourt
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