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  • 1. TRANSIENT ISCHEMIC ATTACK
  • 2.
    • TIA’s are brief temporary episodes of neurologic loss of vision, motor, and or sensory function that can last from a few minutes up to 24 hours. They caused by temporary obstructions of blood flow to the brain and can be a warning sign of an impending CVA. Approximately one-third of those patients who experience a TIA will go on to have a completed stroke but having TIA increases the risk of stroke.
  • 3.
    • Symptoms of TIA’s mirror those of a stroke but are temporary in nature and do not cause any irreversible damage. Signs and Symptoms include a sudden weakness or parethesia on one side of the body, abrupt dimness or loss of vision especially in one eye, sudden slurring of speech, loss of speech or difficulty understanding communication, dizziness, difficulty of walking, loss of coordination, sudden, severe headache without any apparent cause, dysphagia, confusion and nausea and vomiting.
  • 4.
    • Medical Care:
    • Laboratory
    • Radiography
    • Brain Scans
  • 5. Nursing Diagnoses
    • Ineffective Tissue Perfusion
    • Related to: occlusion, hemorrhage ,interuption of cerebral blood flow, Vasospasm, edema.
    • Defining Characteristics:
    • Ineffective cough, tachypnea, dyspnea, abnormal breath sounds, respiratory rate, and depth changes, decreased response to stimuli.
  • 6.
    • DEFFICIENT KNOWLEDGE
    • Related to: weakness, loss of muscle control, cerebral circulation, impairment, neuromuscular impairment, stroke.
    • Defining Characteristics:
    • Request for information, anxiety regarding potential errors, presence of preventable complications, noncompliance with instructions.
  • 7. OUTCOME CRITERIA
    • Patient will be able to understand and comply with treatment plan and medication regimen ,without progression of condition of CVA
  • 8. interventions
    • Evaluate patient’s ability to speak or understand language
    • Assess whether patient suffers from aphasia or dysarthia.
    • Evaluate patients ability to name objects.
    • Avoid talking down to patient or making patronizing comments.
  • 9.
    • When asking questions, use eyes or not type questions initially, and progress as patient is able to answer more specific questions.
    • Provide method of communication for patient, such as writing board, magic slate or communication board to patient may point