INTRACEREBRAL HEMORRHAGE RIGHT SIDED STROKE

Intracerebral hemorrhage (ICH) is a life-threatening form of stroke caused by bleeding within the brain
tissue. When the brain is deprived of oxygen and blood, a stroke occurs. Hypertension, arteriovenous
malformations, and head injuries are the most common causes of ICH. Stopping the bleeding,
eliminating the blood clot (hematoma), and relieving the pressure on the brain are the main goals of
treatment.

Precipitating Factors: Predisposing Factors:

 Hypertension  Old Age

 Smoking  Gender Male
 Alcohol
 Diet

SIGNS & SYMPTOMS:

-Sudden onset of headache

-Decreased level of
Consciousness

+ lateralizing deficits (aphasia,

hemiparesis, hemiplegia ,field
deficits)

-Hypertension

Change in pH level pH level- 6.5

Neurons incapable of producing

sufficient quantities of ATP

Depolarization process

Malfunction of cells
Mitochondria by depriving
energy source of the cells
Failure of the membrane to
maintain electrolyte balance
 Clopidogrel Ischemia of the brain
-Maintain a supportive, firm attitude.
Allow patient sufficient time to accomplish
tasks. Don’t rush the patient
- Provide self-help devices: extensions
with hooks for picking things up from the
floor, toilet risers, long-handled
brushes, drinking straw, leg bag for
catheter, shower chair. Encourage good
grooming and makeup habits.
-Encourage SO to allow patient to do as
much as possible for self.
-Identify previous bowel habits and
reestablish normal regimen. Increase
bulk in diet, encourage fluid intake,
increased activity.
-Teach the patient to comb hair, dress,
and wash.

75mg 1 tab OD tissue/ penumbra region

acidosis Low imbalances

 Na-135.7mmol/L
Increase intracellular Ca, Na, K depolarization
 K-4.32mmol/L
Change positions at least every 2 hr (supine, side
lying) and possibly more often if placed on
affected side.
-Place hard hand-rolls in the palm with fingers and
thumb opposed. Increase glutamate
-Observe affected side for color, edema, or other
signs of compromised circulation.
-Inspect skin regularly, particularly over bony
prominences. Gently massage any reddened
areas and provide aids such as sheepskin pads Energy failure
as necessary.
-Prop extremities in functional position; use
footboard during the period of flaccid paralysis.
Maintain neutral position of head.
 Impaired physical
mobility Self-care deficit

 Cell membrane
destruction
Activates number of damaging
 More increase of
pathways
calcium &
glutamate
 Vasoconstriction
 Generation of free
radicals

Homeostasis is lost & there is cytotic edema

Enlarge the area of infarction in the CT Scan- Recent infarctive

penumbra area changes

Cells burst

Infracted & necrotic

Surrounding cells and the area of initial damage

will have enough blood supply to remain active
for a few hours

Some cells can live & become functional

WBC- 7.29 Damaged area attracts

leukocytes

Invade the substance of the brain

Activation of clotting factors

Extending the stroke

LEGEND

Pathophysiology

Nursing Care Plan

Nursing intervention

Medications

Diagnostic test