Stroke

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PATHOPHYSIOLOGY

Etiology ISCHEMIC STROKE Predisposing factors

An ischemic stroke is when there’s -hypertension


blockage that keeps blood from -hyperthyroidism
reaching all areas of your brain. The -CAD
areas without blood flow stop -cigarette smoking
working and start to die. If blood Obesity
flow doesn’t return quickly enough, Narrowing blood vessels -Alcohol Abuse
an ischemic stroke will cause - DM
permanent brain damage or even
-Poor diet
death.

Formation of plaque deposit

Occlusion of major vessels

Increase pressure in the blood

Due to thrombosis, some neurons die because


of the lack of O2 and nutrients
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CVA( stroke) Cerebral ischemia

Clinical Manifestations
-Severe headache, hemiparesis, hemiplegia,
Altered LOC, trouble walking, dizziness, loss of
balance and coordination

Surgical Management
-mechanical embolectomy
-decompressive craniotomy
-Thrombectomy

Complications
Medical Management - Brain edema Nursing Management
- Pneumonia
-Blood pressure medications -Monitor patient’s vital signs
- UTI and seizure,
- Cholesterol lowering medications - Clinical depression - Perform neurological assessment

Antiplatelet therapy - Determine deficits related to the area of brain


injury
-Anticoagulant
- Turn and assess skin frequently

-Utilize alternatives communication methods


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