ابو العيال
انا عربـــــــــي
 عدد الرسائل : 3396
العمر : 51
تاريخ التسجيل : 07/10/2008
 |  موضوع: CEREBRO VASCULAR ACCIDENT MANAGEMENT السبت 13 ديسمبر 2014, 5:36 am | |
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CEREBROVASCULAR ACCIDENT
Stroke/cerebro vascular accident(CVA) is an acute focal neurological deficit of vascular etiology,
CVA Is occur when blood circulation to part of the Brain cells is disrupted,
it leads brain cells to die,blood flow can be compromised by a variety of human body mechanisms.
Causes of stroke:
Cerebral thrombosis,
Cerebral embolus,
Blockage of an artery,
Athero sclerosis,
Embolic stroke,
Rupture of artery,
Sub arachnoids haemorrhage,
Transient ischemic attack,
Risk factors:
- Hypertension,
- Cardiac diseases,
- Hyperlipidemia,
- Diabetes mellitus,
- Polycythemia,
- Atherosclerosis,
Diagnosis:
- History collection,
- Physical examination,
- CT scan,
- MRI Scan,
- CT with Angiography,
- Conventional Angiogram,
- Carotid Doppler Ultrasound
- Heart tests e.g. ECG.
Blood tests:
- ESR,
- CRP,
- Serum electrolytes
- RBS
- CBP
Signs and symptoms
- Weakness or inability to use any part of boby,
- Inability talk or slurred speech,
- Dizziness,
- Blindness,
- Convulsions,
- Hemiplegia,
- Cranial nerve palsies e.g. Bell’s palsy,
Treatment: Tissue plasminogen activator:
- TPA IS Clot –Buster drug to dissolve the blood clot that is causing the CVA (stroke),
Anticoagulants:
- To reduce blood viscosity,
Or
- Drugs to be thin the Blood,
e.g: Heparin, Aspirin, Antiplatelets:
- The drug that can be decrease clotting risk
e.g: Clopidogrel Diuretics: Inj.Lasix
- Before mannitol to prevent rebound cerebral Oedema
Inj.Mannitol:
- The drug reduce the intracranial pressure
Inj.Ranitidine Nursing management; Airway:
- Check for airway maintain patency,
- Use suction at regular intervals to remove oral secretions,
- Start oxygen administration,
Monitor vitals:
- BP, Pulse, Temperature, Respiration,
- Estimate level of consciousness by using Glasgow coma scale,
- Draw blood for tests, Glucose, Urea, Creatinine, and Electrolytes,
- Start IV line maintain with a normal saline,
- Check for signs of raised intracranial pressure like Headache, vomiting, papilloedema,
- Catheterize the Bladder
- Maintain the input and output chart,
- Take a detailed history –include sequence of events past history of TIA, HTN, Diabetes, CAD,
 الموضوع الأصلي : CEREBRO VASCULAR ACCIDENT MANAGEMENT المصدر : منتدى كل العرب
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