Name: Kimah M.

Drueco Date: August 30, 2019

Topic: CEREBROVASCULAR ACCIDENT (STROKE)

Target: Students

Time Allotment: 30 mins

Specific Objective Content Time Teaching References Evaluation

allotment Strategies

After 30 minutes of 30 1. Lecture Book : After 30 minutes of

discussion the minutes 2. Question Medical-surgical discussion the

students will be and answer nursing 13th edition student was able to:

able to: 3. Visual Aids Brunner and

 Define CVA Is an umbrella term that refers 4. Printed Suddarth’s  Defined CVA
to a functional abnormality of
handouts
the central nervous system
(CNS) that occurs when the
blood supply to the brain is
disrupted. Stroke is the primary
cerebrovascular disorder in the
United States, and while it
 dropped from the fourth to the Internet :
fifth leading cause of death.
-Medical News Today

-PMC National library

of medicine

-Mayo clinic

 Give at least  Give at least 5

- Numbness or weakness
5 signs and of the face, arm, or leg, signs and

symptoms of specifically on one side symptoms of

of the body
CVA CVA
- Confusion or change in
mental status
- Trouble speaking or
understanding speech
- Visual disturbances
- Hemiplegia
- Hemiparesis
- Dysarthria
- Apraxia
- Sudden severe headache
 Provide at  Provide at
Non-modifiable:
least 4 risk - Advanced age (older least 4 risk
than 55 years)
factors
- Gender (Male)
 (either - Race (African factors of
American)
modifiable CVA.

and non-
Modifiable:
modi.) of - Hypertension
- Hyperlipidemia
CVA
- Obesity
- Smoking
- Diabetes
- Asymptomatic carotid
- Stenosis
- Valvular heart disease
(eg, endocarditis,
prosthetic heart valves)

 Give 3  Physical examination  Give 3

diagnostic Your doctor will ask diagnostic test

test you or a family member

what symptoms you've
been having, when they
started and what you
were doing when they
began. Your doctor then
will evaluate whether
these symptoms are still
present.
 Blood tests
You may have several
blood tests, which tell
your care team how fast
your blood clots,
whether your blood
sugar is abnormally
high or low, whether
critical blood chemicals
are out of balance, or
whether you may have
an infection.
 Computerized
tomography (CT) scan
A CT scan uses a series
of X-rays to create a
detailed image of your
brain. A CT scan can
show a hemorrhage,
tumor, stroke and other
conditions.
 Magnetic resonance
imaging (MRI)
An MRI uses powerful
radio waves and
magnets to create a
detailed view of your
 brain. An MRI can
detect brain tissue
damaged by an ischemic
stroke and brain
hemorrhages.

 Carotid ultrasound. In
this test, sound waves
create detailed images of
the inside of the carotid
arteries in your neck. This
test shows buildup of fatty
deposits (plaques) and
blood flow in your carotid
arteries.

 Echocardiogram. An
echocardiogram uses
sound waves to create
detailed images of your
heart. An
echocardiogram can
find a source of clots in
your heart that may have
traveled from your heart
to your brain and caused
your stroke.
 1. thrombolytics- Dissolve  Enumerate 3
 Enumerate 3 blood clot (Recombinant)
medication Of
medication of 2. anticoagulant administration
CVA
( heparin)
CVA
3. mannitol
4. nicardipine
5. laxative
6. anticonvulsant

 Give 1 1. CEA- Carotid  Give 1 surgical

Endarterectomy
surgical management
Surgical management
management for stoke. of CVA

of CVA