2. WHAT IS STROKE ?
It is a condition that develops when blood rich in oxygen can NOT reach brain
cells (due to either a blockage or bleeding).This causes the brain cells to
die
Types of Strokes
3. Happens Due to:
Embolism : a clot has left a part of
the body (example of heart: heart
valve problem or atrial fibrillation)
and travelled to the brain ,which
stops blood flow.
Thrombosis: Clot within the artery
wall within the neck or brain….
seen patients with hyper lipidemia
or atherosclerosis
4. Happens Due to:
Bleeding in the brain due to a
break in blood vessel.
Leads to no blood to perfuse the
brain cells and excessive swelling
from the leakage of blood in the
brain.
Cause : a brain aneurysm bursts
,uncontrolled hypertension, old
age (vessels are NOT as resilient
5. BRAIN”S Functions & Anatomy
Blood supply to the brain
Carotid and vertebral arteries
8. Right Side
• Attention span
• Showing emotions
• Ability to solve everyday problems
by making decisions /plan
• Reasoning (understanding jokes
...reading in between the lines)
• Making judgment calls
• Memory recall
• Music/art awareness
• Controls the left side of the body
10. Right Brain Injury
Findings:
Left side weakness: Hemiplegia
Impairment of creativity
Confused on date , time, place
Cannot recognize faces or the
person’s name
Loss of depth perception
Trouble saying on topic when
talking
Left Brain Injury
Findings:
Right side Hemiplegia
Aphasia (trouble formulating
words
Aware of their
limits…..experience
depression, anger ,frustration
Trouble understanding written
text
Issue in writing (agraphia)
Issue with seeing right side
15. If yes
tPA (tissue plasminogen Activator)
For ischemic stroke within 3hours from onset of sign and
symptoms
If negative
Labs value normal limit
BP controlled
Recently received
Administer heparin or other anti coagulants
16. Nursing interventions for tPA
Check for bleeding
Neurochecks around the clock
Blood pressure medications if needed for hypertension
Vital signs
Labs values
Glucose monitoring
Preventing injury
Avoid unnecessary venepunctures
17. Nursing interventions for stroke
Monitor Vital Signs And Neurostatus:
Blood Pressure (Notify RMO If Hypertensive)
Airway (Difficulty Swallowing HOB 30
Turn Every 2hours With Proper Alignement
watch For Increased ICP
Headache , nausea , vomiting Hypertension ,bradycardia ,
bradypnea,
Low GCS And Pupils Reactions