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Cva 1

Cva 1

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Published by KoRnflakes

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Published by: KoRnflakes on Jan 21, 2009
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09/29/2012

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CEREBROVASCULAR ACCIDENT (STROKE)
Also referred to as a
brain attack.
Is a condition in which neurologic deficits results from decreased blood flow to alocalized area of the brain.2 Major Categories
Ischemic
o
When blood supply to a part of the brain is suddenly interrupted by a thrombusor embolus.
Hemorrhage
o
When a blood vessel breaks open, spilling blood into spaces surroundingneurons.
Major loss of blood supply to the brain can cause severe disability or death.
Third leading cause of death.
CVA occurs
more frequently in men
then women.Risk Factors
Hypertension
DM
Sickle cell disease
Substance abuse
Atherosclerosis
Family hx. of obesity
Sedentary lifestyle
Hyperlipidemia
Atrial fibrilliation
Cardiac diseases
Cigarette smoking
TIA
Previous transient Ischemic attack 
Women-oral contraceptive use, pregnancy, menopause
 
Embolism
o
The second most common cause of CVA.
o
Most commonly affecting
 younger people
.
o
Most frequently caused by
rheumatic heart disease and myocardial infarction.
o
Symptoms occur at any time and progress rapidly.Ischemic Stroke
Results from cerebrovascular obstruction by thrombosis or emboli
TIA
Thrombotic stroke
Embrolic strokeTransient Ischemic Attack 
Refers to cerebral ischemia with temporary episodes of neurologic disfunction.
Manifestations include
contralateral
weakness of the lower portion of the face,fingers, hands, arms, legs and corner of the mouth, transient dysphagia, and sensoryimpairment.Stroke in evolution refers to development of a neurologic deficits.
Aphasia
Due to ischemia of the left hemisphere
Visual disturbances due to involvement of the
 posterior cerebral artery.
Thrombotic stroke
Most frequent cause of CVA
Cause by occlusion of large cerebral vessel by a thrombus
Occur in older people who are resting or asleep.
Characterized by gradual deterioration of the client’s condition.
This may also occur among clients with
diabetes mellitus and hypertension.
Lacunar stroke
Affecting the smaller arteriesStroke in Evolution
Refers to development of a neurologic deficit
 
Completed Stroke
Refers to a permanent neurologic deficit.

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