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CVA is a sudden loss of brain

function resulting from a disruption


of the blood supply to a part of the
brain.
There are two major types of strokes,
Ischemic and Hemorrhagic. Causes for it are
Thrombosis, Cerebral embolism and
Cerebral haemorrhage. Following factors
increase the risk of the strokes:

 Gender (risk higher for male)


 Age (risk increase over 55)
Cerebrovascular Accident
 Family history of strokes (CVA) or Brain Attack
 Personal history of heart attack
CEREBROVASCULAR
 Alcohol, drug use
 Smoking
ACCIDENT (CVA) OR
 Overweight Prepared by: Shital Sawant BRAIN ATTACK
 High cholesterol
 Hypertension SASAWANT87@GMAIL.COM

 Psychological stress
 Use of certain medication
(anticoagulant )
CLINICAL MANIFESTATION MEDICAL MANAGEMENT NURSING MANAGEMENT
 Effect on mental state Drug Therapy Recovery Phase
 Physical losses  Anticoagulants, E.g. Heparin  Full assessment from MDT
 Effect on communication  Diuretics  Ambulation
 Antiplatelets, E.g. Aspirin  Check swallowing reflexes
 Antihypertensive

Surgery
 Carotid Endarterectomy
 Embolectomy
 Craniotomy

NURSING MANAGEMENT

DIAGNOSTIC EVALUATION Acute Phase


 Complete nursing assessment NURSING DIAGNOSES
 History collection
 Physical examination and assign bed in acute area  Ineffective Cerebral Tissue Perfusion
 CT scan, PET scan, MRI nearest nurse’s station related to interruption of blood flow
 Cerebral angiography  Regular observation and  Impaired Physical Mobility related to
 Lumbar puncture assessment weakness
 Transcranial Doppler  Medication  Impaired Verbal Communication
Ultrasonography  Maintain body alignment and (dysarthria)
 EEG, ECG, X-Rays support affected limbs  Disturbed Sensory Perception related
 Laboratory Studies-CBC, platelet  Change the position two to Altered sensory reception
and clotting studies hourly to prevent bedsore
 Maintain bodily fluids and
provide psychological support

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