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    Cva Cva Presentation Transcript

    • CEREBROVASCULAR DISORDERS A Nursing Approach in the Management of BY: DAVE JAY S. MANRIQUEZ BSN,RN.
    • CEREBROVASCULAR DISORDERS An umbrella term that refers to any functional abnormality of the central nervous system that occurs when the normal blood supply to the brain is disrupted.
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    • STROKE a sudden neurological event which results in the new onset of neurological symptoms.
    • TYPES of STROKE
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    • ISCHEMIC STROKE “ BRAIN ATTACK”
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      • MOTOR LOSS
      • -disturbance of voluntary motor control on the side of the body opposite the location of the stroke lesion
      • Hemiplegia
      • Hemiparesis
      • COMMUNICATION LOSS
      • Dysarthria
      • Apraxia
      • Agnosia
      • Dysphasia or Aphasia
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      • PERCEPTUAL DISTURBANCES
      • Homonymous Hemianopsia
      • Disturbance in Visual-Spatial Relations
        • - Unilateral Neglect
      • Loss of Peripheral Vision
      • Night Blindness
      • Diplopia
      • Horner’s Syndrome
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      • SENSORY LOSS
      • Slight Impairment of Touch
      • Loss of Proprioception
      • Difficulty in interpreting visual, tactile, and auditory stimuli
    • COGNITIVE IMPAIRMENT & PSYCHOLOGICAL EFFECTS
    • ASSESSMENT & DIAGNOSTICS
      • Patient History
      • Complete Physical and Neurologic Examination
      • Initial Assessment: Airway Patency, Cardiovascular Status, Gross Neurologic Losses
      • Stroke Time Course Classification
    • STROKE TIME COURSE CLASSIFICATION Stage 1: Transient Ischemic Attack Stage 2: Reversible Ischemic Neurologic Deficits Stage 3: Stroke in Evolution Stage 4: Completed Stroke
    • DIAGNOSTIC TESTS
      • CT Scan
      • 12-Lead ECG
      • Carotid ultrasound
      • Cerebral Angiography
      • Transcranial Doppler Flow Studies
      • Transthoracic or Transesophageal Echocardiography
      • MRI of the brain and/or neck
      • Xenon CT
      • Single Photon Emission CT
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    • MEDICAL MANAGEMENT
      • Treatment of TIA from atrial fibrillation or suspected embolic or thrombotic causes
      • Thrombolytic Therapy for Ischemic Stroke
      • Therapy for Patients with Ischemic Stroke NOT Receiving Thrombolytic Therapy
      • Managing Potential Complications
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    • SURGICAL MANAGEMENT CAROTID ENDARTERECTOMY - Main surgical procedure for the management of TIAs and small stroke - Indicated for patients with symptoms of TIA or mild stroke found to be due to carotid stenosis - Complications : stroke, cranial nerve injuries, infection, hematoma at the incision site, carotid artery disruption
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    • NURSING MANAGEMENT
      • Improving Mobility and Preventing Joint Deformities
      • Managing Sensory-Perceptual Difficulties
      • Attaining Bowel and Bladder Control
      • Improving Thought Processes
      • Improving Communication
      • Maintaining Skin Integrity
      • Improving Family Coping
      • Helping the Patient Cope with Sexual Dysfunction
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    • HEMMORHAGIC STROKE CEREBRAL ANEURYSM SUBARACHNOID HEMORRHAGE
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