MANAGEMENT OF CVA

1. Mahimadas
3rd year B.Sc Nursing
ST . Joseph’s college of nursing
Anchal

3. IDENTIFY STROKEWITH GLASGOWCOMA SCALE
MAINTAINCEREBRALOXYGENATION
MAINTAIN INTRACRANIAL PRESSURE
ELEVATE HEAD OF BEDTO 25-30 degree.
INTUBATE PATIENT WITH AN ET TUBETO ESTABLISH PATENTAIRWAY
CONTINUOUS HEMODYNAMIC MONITORING
MAINTAIN FLUID AND ELECTROLYTE BALANCE
FREQUENT NEUROLOGICALASSESSMENTS
CONTROL HYPERTENSION
TREATMENT FOR UNDERLYING CARDIAC PROBLEM
TEACH PATIENT “NO SMOKING” AND LIMIT ALCOHOL INTAKE

5. ANTILIPIDIMIC DRUGS
Ex: ATORVA
PROTON PUMP INHIBITOR
Ex: INJ. PANTOP
ANTIPLATELETS
Ex : ECOSPOIRIN
ANTIBIOTICS
Ex : inj.TAXIM
BRONCHODILATOR
Ex : inj. DERIPHYLLINE

7. HEMI CRANIOTOMY

8. Hemi craniectomy is used to treat
swelling in the brain after
both ischemic and hemorrhagic stroke

9. STEREOTACTIC MICROSURGERY FOR ANEURYSM

10. Stereotactic microsurgery is one of the
most dramatic new surgical procedure for
AVMS and aneurysm that were once considered
untreatable.

11. MECHANICAL EMBOLECTOMY

12. ANEURYSM CLIPPING

13. CEREBRAL REVASCULARIZATION

14. CAROTID SURGERY

15. TRANSLUMINENT ANGIOPLASTY

16. CAROTID ANGIOPLASTY
AND STENT

18. Altered level of consciousness
Limited range of motion , decreased muscle strength
Impaired verbal communication
Altered thought process
Inability to meet basic needs / role expectations
Impaired ability to perform activities of daily life
NURSING PROBLEMS

19. NURSING DIAGNOSIS
Ineffective cerebral tissue perfusion related to interruption of blood flow as evidenced
by altered level of consciousness
Impaired physical mobility related to neuromuscular involvement as evidenced by
limited range of motion and decreased muscle strength.
Impaired verbal communication related to loss of facial muscle tone and
neuromuscular impairment as evidenced by inability to speak
Disturbed sensory perception related to altered sensory perception as evidenced by
altered thought process and disorientation to time , place and person
Ineffective coping related to cognitive perceptual changes as evidenced by inability to
meet basic needs or roles.
Self care deficit related to neuromuscular impairment and loss of muscle control/
coordination as evidenced by impaired ability to perform activities of daily life