Book Based Pathophysiology - Hemorrhagic Stroke

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BOOK BASED PATHOPHYSIOLOGY

LEGENDS: DISEASE RISK ETIOLOGY SIGNS AND POTENTIAL DISEASE


MECHANISM FACTORS SYMPTOMS COMPLICATIONS

NON-MODIFIABLE: MODIFIABLE:
Age: 65 y/o and above (old age) High blood pressure
Gender: Female Excessive alcohol intake
Ethnicity: Asian Use of medications (e.g., anticoagulants
Family History of Stroke and amphetamines)
History of Ischemic Stroke Cigarette smoking
Overweight

Cerebral amyloid Hypertension Head Trauma


angiopathy

Vascular Cerebral
malformations atherosclerosis

Compromise integrity of cerebral artery

Weaken the blood vessel wall

Sudden, severe headache Rupture of the cerebral artery

Intraparenchymal blood accumulation

Build-up of pressure
Nausea and vomiting
↓ level of consciousness
Without medical intervention ↑ intracranial pressure Cranial nerve deficit
Pathological posturing
Cushing’s triad
Brain herniation Compression of the brain

Disruption of normal blood flow and O2


Comatose Stupor circulation

↓ cerebral perfusion
DEATH

Cerebral ischemia

Brain cell damage

Alterations in the cerebral component


Right or left hemiparesis Vasospasm
Altered level of consciousness Seizures
Sluggish pupillary reaction Hydrocephalus
Motor and sensory dysfunction Rebleeding
Cranial nerve deficits Hyponatremia
Speech difficulties and visual disturbances
Neck stiffness
(Brunner and Suddarth’s Textbook of Medical-Surgical
(Brunner and Suddarth’s Textbook of Medical-Surgical Nursing, 14th Edition.) Nursing, 14th Edition.)

HEMORRHAGIC CEREBROVASCULAR ACCIDENT/ STROKE

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