STROKE  Subarachnoid hemorrhagic

stroke
Presented By :
Debbie Lovely Donilo
Luie Mahgit Guinyang
Kyra Mae Rosimo
What is Stroke?
- Sometimes called a brain attack,
occurs when something blocks blood
supply to part of the brain or when a
blood vessel in the brain bursts. In
either case, parts of the brain
become damaged or die.
Based on the duration and evolution of
- Can cause lasting brain damage, symptoms:
long-term disability or even death.
• Transient Ischemic Attack (TIA)-
Symptoms resolve in 24 hrs.

2 Types of Stroke • Stroke – symptoms last for more

than 24 hrs.
 Ischemic Stroke
• Progressing Stroke – focal
 A stroke that occurs because blood neurological deficit worsens after
flow to the brain is blocked. The the pt. first presents.
brain cannot get oxygen and
nutrients from the blood. Without • Complete Stroke- focal deficit
oxygen and nutrients, brain cells persists, but is not progressing
begin to die within a minute.
 Hemorrhagic Stroke
- A stroke that occurs because of sudden
bleeding in the brain. The leaked blood
results in pressure on brain cells,
damaging them.
Sub-type of hemorrhagic stroke:

 Intracerebral hemorrhagic
stroke
 • Visual Disturbances
• Dizziness and Loss of Balance
• Severe Headache
Risk factors • Facial Drooping
 Non-Modifiable
• Age • Trouble Swallowing
• Gender • Loss of Coordination
• Race
• Heredity • Loss of Consciousness

 Modifiable Hemorrhagic Stroke

• Hypertension
• Cardiac Arrest
• TIA
• Uncontrolled DM
• Cigarette Smoking
• Sudden Severe Headache
• Weakness or Paralysis
• Numbness or Tingling
• Difficulty Speaking or Understanding
Speech

• Alcohol • Vision Changes

• Illicit Drug Use • Loss of Coordination or Balance

• Oral Contraceptives • Nausea and Vomiting

• Decreased Level of Consciousness

 Lifestyle • Seizures
• Obesity
• Physical Inactivity
• Diet DIAGNOSTIC TESTS
• CT SCAN

SIGNS AND SYMPTOMS • MRI

Ischemic Stroke TO DETERMINE THE TYPE, LOCATION, AND

CAUSE OF STROKE AND TO RULE OUT
• Sudden Weakness or Numbness OTHER DISORDERS:
• Difficulty Speaking • BLOOD TEST
• Confusion • ECG OR EKG
 • CAROTID ULTRASOUND OR DOPPLER
ULTRASOUND
• CEREBRAL ANGIOGRAPGY
Hemorrhagic Stroke
• Immediate Assessment and
NURSING MANAGEMENT Stabilization
Ischemic Stroke • Frequent Neurological Assessment
• Assessment of Neurological Status • Blood Pressure Management
• Blood Pressure Monitoring and • Seizure Prevention and Management
Management
• Thrombocytopenia Monitoring
• Antiplatelet and Anticoagulant
• Hydration and Electrolyte Balance
Medication
• Preventing Complication
• Dysphagia Assessment and
Management • Pain Management
• Early Mobilization and Rehabilitation • Education
• Psychosocial Support
• Education