Anoxic brain injury and braindeath info for patient's families
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This document discusses anoxic brain injury caused by cardiac arrest. It defines anoxic brain injury as occurring when the brain does not receive enough oxygen, usually after the heart stops pumping. It outlines that the brain can become irreversibly damaged after only 4 minutes without blood supply. The document describes how clinicians use tests such as CT scans and those measuring brain electrical activity to determine the severity of brain damage following cardiac arrest. It also explains that the prognosis for most patients is poor, with predictors being older age, multiple pre-existing diseases, a long duration of cardiac arrest, and an unwitnessed cardiac arrest.
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Anoxic brain injury and braindeath info for patient's families
This document discusses anoxic brain injury caused by cardiac arrest. It defines anoxic brain injury as occurring when the brain does not receive enough oxygen, usually after the heart stops pumping. It then outlines how cardiac arrests can be caused by electrical abnormalities in the heart or other bodily problems. The document explains that the brain starts becoming irreversibly damaged after 4 minutes without blood supply and oxygen. It describes the methods used to assess brain injury severity, including clinical exams, scans, and electrical brain activity tests. Finally, it provides an overview of treatments focused on optimizing oxygen delivery and discusses the generally poor prognosis, though some predictors of outcome are identified.
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A stroke occurs when the blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. There are two main types of stroke: ischemic, caused by a blockage in an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms vary depending on the affected area of the brain and can include paralysis, confusion, vision changes, and headaches. Treatment depends on the type of stroke, but may involve clot-busting drugs, surgery, or lifestyle changes to prevent future strokes such as controlling risk factors like high blood pressure, smoking, diabetes, and obesity. Prognosis depends on the severity and location of damage to the brain.
Stroke protocol update january 2017
This document provides training on assessing and treating stroke patients in the pre-hospital setting. It defines the different types of strokes and outlines assessment tools like the CPSS and RACE scales to evaluate patients. A RACE score over 5 indicates potential large vessel occlusion requiring transport to a Comprehensive Stroke Center for specialized treatment. The document also reviews stroke mimics and identifies the local Primary and Comprehensive Stroke Centers for transport. The goal is properly identifying stroke and getting patients to the most appropriate facility in a timely manner to improve outcomes.
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Anoxic brain injury and braindeath info for patient's families
This document discusses anoxic brain injury caused by cardiac arrest. It defines anoxic brain injury as occurring when the brain does not receive enough oxygen, usually after the heart stops pumping. It then outlines how cardiac arrests can be caused by electrical abnormalities in the heart or other bodily problems. The document explains that the brain starts becoming irreversibly damaged after 4 minutes without blood supply and oxygen. It describes the methods used to assess brain injury severity, including clinical exams, scans, and electrical brain activity tests. Finally, it provides an overview of treatments focused on optimizing oxygen delivery and discusses the generally poor prognosis, though some predictors of outcome are identified.
Cva_nhelzki
A stroke occurs when the blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. There are two main types of stroke: ischemic, caused by a blockage in an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms vary depending on the affected area of the brain and can include paralysis, confusion, vision changes, and headaches. Treatment depends on the type of stroke, but may involve clot-busting drugs, surgery, or lifestyle changes to prevent future strokes such as controlling risk factors like high blood pressure, smoking, diabetes, and obesity. Prognosis depends on the severity and location of damage to the brain.
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This document provides training on assessing and treating stroke patients in the pre-hospital setting. It defines the different types of strokes and outlines assessment tools like the CPSS and RACE scales to evaluate patients. A RACE score over 5 indicates potential large vessel occlusion requiring transport to a Comprehensive Stroke Center for specialized treatment. The document also reviews stroke mimics and identifies the local Primary and Comprehensive Stroke Centers for transport. The goal is properly identifying stroke and getting patients to the most appropriate facility in a timely manner to improve outcomes.
Brain Attackdefinitionandidofstrokepresentaiton
The document defines stroke and provides statistics about its prevalence. It discusses the two main types of strokes - ischemic and hemorrhagic - and their causes. Transient ischemic attacks are described as temporary stroke-like symptoms. Risk factors for stroke are outlined such as age, high blood pressure, smoking, diabetes and family history. Signs and symptoms of stroke are listed. The importance of rapid treatment is stressed as time lost can cause greater brain damage.
Cerebrovascular accident (CVA)
A 65-year-old man presented to the hospital with acute left-sided weakness and slurred speech for 14 hours. His medical history included hypertension. Examination found left-sided motor weakness and deviated eyes and mouth. A CT scan showed an infarction in the right middle cerebral artery. The patient was diagnosed with an ischemic stroke. The goals of management were to ensure medical stability, determine eligibility for thrombolysis, and uncover the cause of symptoms. Treatment included monitoring blood pressure, glucose, swallowing function, and fever. Intravenous thrombolysis within 4.5 hours or mechanical thrombectomy within 24 hours were recommended treatment options.
Stroke
This document discusses stroke (cerebrovascular accident or CVA), including:
- Stroke is caused by a lack of blood flow and oxygen to the brain, which can be due to blockage or rupture of an artery. The main types are ischemic (87%) and hemorrhagic (13%).
- Risk factors include hypertension, diabetes, high cholesterol, smoking, obesity, excessive alcohol, and atrial fibrillation.
- Symptoms vary depending on the affected brain region but can include paralysis, speech problems, sensory issues, and cognitive impairments.
- Diagnosis involves physical exams, neurological tests, imaging scans like CT/MRI, and other tests. Treatment includes thrombol
Cardio Vascular Accident CVA
Critical care situations in neurological nursing often involve increased intracranial pressure, cerebrovascular accidents, and delirium. Increased ICP can lead to herniation and brainstem compression if pressure rises above 20 mmHg. Nursing focuses on early detection by monitoring changes in vital signs and neurological status. Treatment aims to lower ICP through interventions like hyperventilation, diuresis, and maintaining cerebral perfusion pressure. Ischemic and hemorrhagic strokes require different acute treatments and long-term management to prevent recurrence and complications. Delirium involves an acute, reversible disturbance in consciousness and cognition that usually has an underlying medical cause.
An Overview on Stroke & management
Stroke occurs when blood flow to the brain is interrupted, depriving brain tissue of oxygen and nutrients. It is a leading cause of death and disability worldwide. In Bangladesh, stroke accounts for 10% of medical admissions. The most common type is ischemic stroke, caused by blockage of an artery supplying the brain. Symptoms depend on the affected area but may include weakness, speech problems, visual issues, and headaches. Risk factors include hypertension, smoking, diabetes, and high cholesterol. Rapid diagnosis and treatment are important to reduce long-term effects.
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This document discusses cerebrovascular accidents (strokes). It defines strokes as occurring when blood flow to the brain is interrupted, and describes the two main types: ischemic (caused by blockage) and hemorrhagic (caused by ruptured blood vessel). Risk factors include conditions like high blood pressure, smoking, obesity, and older age. Symptoms appear suddenly and may include weakness, trouble speaking, or vision issues. Diagnosis involves tests like CT/MRI scans and angiograms. Treatment depends on stroke type but aims to restore blood flow or control bleeding. Prevention focuses on controlling risk factors like blood pressure and diabetes.
OT for cva
A stroke occurs when blood flow to the brain is interrupted, depriving brain tissue of oxygen and nutrients. The main causes are blood clots (ischemic stroke) or bleeding (hemorrhagic stroke). Symptoms depend on the affected brain region but may include weakness, numbness, vision issues, and speech problems. Risk factors include age, family history, diabetes, high blood pressure, smoking and obesity. Diagnosis involves physical exams, CT scans and MRI. Treatment focuses on rehabilitation to regain functions through therapies like occupational and physical therapy. Prevention emphasizes controlling risk factors through healthy lifestyle choices and medical management of conditions.
Stroke Community Presentation Guide[1]
The document discusses stroke, providing information about causes, symptoms, treatments, recovery, and prevention. It emphasizes that stroke is a medical emergency and calls for immediately dialing 911 at the first sign of symptoms. The "3 R's of Stroke" are to recognize symptoms, reduce risk factors, and respond quickly to get emergency treatment, as every minute matters in stroke treatment. Up to 80% of strokes are preventable through controlling risk factors like high blood pressure, atrial fibrillation, smoking, cholesterol, and diabetes.
Stroke Awareness
This document discusses stroke, its causes, symptoms, treatments, and importance of early intervention. Stroke occurs when a blood vessel supplying the brain is blocked by a clot or ruptures, depriving brain tissue of oxygen. Early recognition of stroke symptoms using the FAST test and immediate medical treatment are crucial, as every minute of delay causes further brain damage. Specialized stroke units and clot-busting drugs within 4.5 hours of symptoms can significantly improve outcomes. Rehabilitation is also important for recovery. Lifestyle changes can help prevent additional strokes. Public awareness and advocacy are needed to improve stroke care worldwide.
Cerebrovascular Accident
This document provides an overview of strokes, including:
1) Strokes are caused by an interruption of blood flow to the brain and are a leading cause of death and disability in the US.
2) The two main types of strokes are ischemic, caused by blockage of arteries, and hemorrhagic, caused by bleeding in the brain.
3) Warning signs of a stroke include sudden weakness, confusion, trouble speaking, and vision changes. Acting FAST (Face, Arms, Speech, Time) and calling 911 immediately can help reduce stroke damage.
Presentationon cva
This document discusses the challenges in nursing care for patients experiencing a cerebrovascular accident (CVA) or stroke. It begins by defining a CVA as a sudden loss of brain function caused by disrupted blood flow to the brain. The document then covers the types, risk factors, clinical manifestations, investigations, and management of strokes. It emphasizes the nursing priorities of initial treatment to prevent further deterioration, ongoing risk assessment, and interventions to address impaired mobility, vital signs, nutrition, and more. The overall goal of nursing management is to control symptoms, prevent complications, and optimize recovery through a coordinated, multidisciplinary approach.
Prognostic factors in head injury
- Several clinical factors are prognostic indicators of outcome following head injury, including age, hypoxia, blood pressure, and Glasgow Coma Scale score. Elderly patients and those with hypoxia or low blood pressure have worse outcomes.
- Radiological factors like obliteration of basal cisterns on CT scan and increased midline shift correlate with elevated intracranial pressure and increased mortality.
- Duration of post-traumatic amnesia is also predictive, with longer periods of amnesia associated with more severe brain injury and worse prognosis.
Stroke
1) A stroke occurs when the blood supply to part of the brain is interrupted, depriving brain cells of oxygen and nutrients. Strokes are medical emergencies that require immediate treatment to minimize damage.
2) The student is working on a project about early stroke diagnosis using deep learning and convolutional neural networks.
3) The blood vessels supplying the brain, called the internal carotids and vertebral arteries, are the parts of the nervous system affected in strokes. Damage depends on where in the brain the stroke occurs.
Cerebrovascular disease
1. A 70-year-old woman collapsed at home and was found confused by her daughter. EMS determined she may have had a stroke and transported her to the hospital within 30 minutes of the collapse.
2. At the hospital, she was found to have high blood pressure, left-sided weakness, and a CT scan showed a blood clot in her carotid artery causing a right hemisphere stroke.
3. Her risk factors included a history of untreated hypertension and a previous transient ischemic attack. She was diagnosed with an ischemic stroke likely due to atherosclerosis.
Cerebrovascular accident
Cerebrovascular accident refers to a stroke, which occurs when blood flow to the brain is interrupted. The document discusses the causes, types, symptoms, risk factors, and diagnostic evaluation of strokes. It also summarizes hypertension, myocardial infarction, and coronary artery disease - all of which can increase the risk of strokes if not properly managed.
Cva
The document provides information about protocols for treating patients exhibiting signs of an acute stroke or CVA. It outlines assessments and tests to determine if a patient is having a stroke, including the Cincinnati Pre-hospital Stroke Scale (CPSS) and Rapid Arterial Occlusion Evaluation (RACE). If CPSS is positive, RACE is used to determine stroke severity. Patients scoring 4 or higher on RACE should be transported to a Comprehensive Stroke Center if possible. Treatment protocols are also provided, focusing on airway management, vital sign monitoring, glucose testing, and seizure management. Transport is usually to the nearest Primary or Comprehensive Stroke Center.
ischemic stroke
The document provides information about strokes, including:
1) Strokes occur when the blood supply to the brain is interrupted or reduced, causing brain cells to die from lack of oxygen and nutrients. There are three main types of stroke: ischemic, hemorrhagic, and TIA.
2) Risk factors for stroke include hypertension, heart disease, high cholesterol, smoking, atrial fibrillation, diabetes, overweight/obesity, blood disorders, excessive alcohol, and certain medications. Symptoms appear suddenly and include confusion, weakness, vision problems, and trouble walking or talking.
3) Diagnosis involves physical exams, blood tests, CT/MRI scans, and other specialized tests. Treatment
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This document provides information on ischemic and hemorrhagic stroke. It discusses the types, risk factors, pathophysiology, symptoms, diagnosis, and treatment of each. For ischemic stroke, it outlines the five types according to cause and details tPA administration criteria. For hemorrhagic stroke, it describes the types including intracerebral hemorrhage from aneurysms or arteriovenous malformations. Nursing interventions for recovery are also summarized.
CVA
The document provides information about protocols for treating patients exhibiting signs of an acute stroke or CVA. It outlines assessments and tests to determine if a patient is having a stroke, including the Cincinnati Pre-hospital Stroke Scale (CPSS) and Rapid Arterial Occlusion Evaluation (RACE). It describes treating potential underlying causes of stroke symptoms like hypoglycemia. It also notes the differences between primary and comprehensive stroke centers in terms of capabilities for treating patients.
Icp
This document provides information about neurological nursing related to increased intracranial pressure and head injuries. It discusses the anatomy and physiology of the brain, types of head injuries including primary and secondary injuries, complications such as hematomas, and management of increased ICP. Nursing assessments, diagnoses, and interventions are also reviewed, including monitoring for signs of increased ICP, maintaining airway and breathing, preventing injury, and using the Glasgow Coma Scale to assess level of consciousness.
Care for head injury joanne (1)
This document provides guidance on caring for patients with head injuries. It discusses assessing neurological status, managing blood pressure/volume, oxygenation, temperature, seizures, nutrition, positioning, bladder/bowel care, minimizing stimulation, safety, rehabilitation, and educating family members. Key aspects include monitoring vital signs, avoiding hypotension, maintaining oxygen levels, managing ICP rise through osmotherapy, keeping the patient normothermic, starting early rehabilitation, and supporting family members through the recovery process.
B R A I N D E A T H
The document discusses brain death, its diagnosis and pathophysiology. It defines brain death as the complete and irreversible loss of brain function. The diagnosis involves meeting strict clinical criteria demonstrating the absence of brainstem reflexes as well as confirmatory tests like EEG. Brain death results in no prospect of survival without life support or recovery of brain function. Proper diagnosis is important for organ donation where brain death constitutes legal death.
B R A I N S T E M D E A T H T E S T
The document defines brain death and describes the causes, diagnosis, and tests used to determine brain death. It states that brain death is the irreversible loss of brain function, including the brain stem. Common causes are traumatic brain injury, strokes, and brain hemorrhages which can lead to brain swelling and loss of oxygen. The diagnosis involves clinical exams and tests to check for reflexes and response to stimuli. Key tests include pupillary, corneal, oculocephalic, caloric, gag/cough reflexes and an apnea test. The diagnosis must be made by certain specialists and require exclusionary criteria before determining brain death.
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A 65-year-old man presented to the hospital with acute left-sided weakness and slurred speech for 14 hours. His medical history included hypertension. Examination found left-sided motor weakness and deviated eyes and mouth. A CT scan showed an infarction in the right middle cerebral artery. The patient was diagnosed with an ischemic stroke. The goals of management were to ensure medical stability, determine eligibility for thrombolysis, and uncover the cause of symptoms. Treatment included monitoring blood pressure, glucose, swallowing function, and fever. Intravenous thrombolysis within 4.5 hours or mechanical thrombectomy within 24 hours were recommended treatment options.
Stroke
This document discusses stroke (cerebrovascular accident or CVA), including:
- Stroke is caused by a lack of blood flow and oxygen to the brain, which can be due to blockage or rupture of an artery. The main types are ischemic (87%) and hemorrhagic (13%).
- Risk factors include hypertension, diabetes, high cholesterol, smoking, obesity, excessive alcohol, and atrial fibrillation.
- Symptoms vary depending on the affected brain region but can include paralysis, speech problems, sensory issues, and cognitive impairments.
- Diagnosis involves physical exams, neurological tests, imaging scans like CT/MRI, and other tests. Treatment includes thrombol
Cardio Vascular Accident CVA
Critical care situations in neurological nursing often involve increased intracranial pressure, cerebrovascular accidents, and delirium. Increased ICP can lead to herniation and brainstem compression if pressure rises above 20 mmHg. Nursing focuses on early detection by monitoring changes in vital signs and neurological status. Treatment aims to lower ICP through interventions like hyperventilation, diuresis, and maintaining cerebral perfusion pressure. Ischemic and hemorrhagic strokes require different acute treatments and long-term management to prevent recurrence and complications. Delirium involves an acute, reversible disturbance in consciousness and cognition that usually has an underlying medical cause.
An Overview on Stroke & management
Stroke occurs when blood flow to the brain is interrupted, depriving brain tissue of oxygen and nutrients. It is a leading cause of death and disability worldwide. In Bangladesh, stroke accounts for 10% of medical admissions. The most common type is ischemic stroke, caused by blockage of an artery supplying the brain. Symptoms depend on the affected area but may include weakness, speech problems, visual issues, and headaches. Risk factors include hypertension, smoking, diabetes, and high cholesterol. Rapid diagnosis and treatment are important to reduce long-term effects.
Cva
This document discusses cerebrovascular accidents (strokes). It defines strokes as occurring when blood flow to the brain is interrupted, and describes the two main types: ischemic (caused by blockage) and hemorrhagic (caused by ruptured blood vessel). Risk factors include conditions like high blood pressure, smoking, obesity, and older age. Symptoms appear suddenly and may include weakness, trouble speaking, or vision issues. Diagnosis involves tests like CT/MRI scans and angiograms. Treatment depends on stroke type but aims to restore blood flow or control bleeding. Prevention focuses on controlling risk factors like blood pressure and diabetes.
OT for cva
A stroke occurs when blood flow to the brain is interrupted, depriving brain tissue of oxygen and nutrients. The main causes are blood clots (ischemic stroke) or bleeding (hemorrhagic stroke). Symptoms depend on the affected brain region but may include weakness, numbness, vision issues, and speech problems. Risk factors include age, family history, diabetes, high blood pressure, smoking and obesity. Diagnosis involves physical exams, CT scans and MRI. Treatment focuses on rehabilitation to regain functions through therapies like occupational and physical therapy. Prevention emphasizes controlling risk factors through healthy lifestyle choices and medical management of conditions.
Stroke Community Presentation Guide[1]
The document discusses stroke, providing information about causes, symptoms, treatments, recovery, and prevention. It emphasizes that stroke is a medical emergency and calls for immediately dialing 911 at the first sign of symptoms. The "3 R's of Stroke" are to recognize symptoms, reduce risk factors, and respond quickly to get emergency treatment, as every minute matters in stroke treatment. Up to 80% of strokes are preventable through controlling risk factors like high blood pressure, atrial fibrillation, smoking, cholesterol, and diabetes.
Stroke Awareness
This document discusses stroke, its causes, symptoms, treatments, and importance of early intervention. Stroke occurs when a blood vessel supplying the brain is blocked by a clot or ruptures, depriving brain tissue of oxygen. Early recognition of stroke symptoms using the FAST test and immediate medical treatment are crucial, as every minute of delay causes further brain damage. Specialized stroke units and clot-busting drugs within 4.5 hours of symptoms can significantly improve outcomes. Rehabilitation is also important for recovery. Lifestyle changes can help prevent additional strokes. Public awareness and advocacy are needed to improve stroke care worldwide.
Cerebrovascular Accident
This document provides an overview of strokes, including:
1) Strokes are caused by an interruption of blood flow to the brain and are a leading cause of death and disability in the US.
2) The two main types of strokes are ischemic, caused by blockage of arteries, and hemorrhagic, caused by bleeding in the brain.
3) Warning signs of a stroke include sudden weakness, confusion, trouble speaking, and vision changes. Acting FAST (Face, Arms, Speech, Time) and calling 911 immediately can help reduce stroke damage.
Presentationon cva
This document discusses the challenges in nursing care for patients experiencing a cerebrovascular accident (CVA) or stroke. It begins by defining a CVA as a sudden loss of brain function caused by disrupted blood flow to the brain. The document then covers the types, risk factors, clinical manifestations, investigations, and management of strokes. It emphasizes the nursing priorities of initial treatment to prevent further deterioration, ongoing risk assessment, and interventions to address impaired mobility, vital signs, nutrition, and more. The overall goal of nursing management is to control symptoms, prevent complications, and optimize recovery through a coordinated, multidisciplinary approach.
Prognostic factors in head injury
- Several clinical factors are prognostic indicators of outcome following head injury, including age, hypoxia, blood pressure, and Glasgow Coma Scale score. Elderly patients and those with hypoxia or low blood pressure have worse outcomes.
- Radiological factors like obliteration of basal cisterns on CT scan and increased midline shift correlate with elevated intracranial pressure and increased mortality.
- Duration of post-traumatic amnesia is also predictive, with longer periods of amnesia associated with more severe brain injury and worse prognosis.
Stroke
1) A stroke occurs when the blood supply to part of the brain is interrupted, depriving brain cells of oxygen and nutrients. Strokes are medical emergencies that require immediate treatment to minimize damage.
2) The student is working on a project about early stroke diagnosis using deep learning and convolutional neural networks.
3) The blood vessels supplying the brain, called the internal carotids and vertebral arteries, are the parts of the nervous system affected in strokes. Damage depends on where in the brain the stroke occurs.
Cerebrovascular disease
1. A 70-year-old woman collapsed at home and was found confused by her daughter. EMS determined she may have had a stroke and transported her to the hospital within 30 minutes of the collapse.
2. At the hospital, she was found to have high blood pressure, left-sided weakness, and a CT scan showed a blood clot in her carotid artery causing a right hemisphere stroke.
3. Her risk factors included a history of untreated hypertension and a previous transient ischemic attack. She was diagnosed with an ischemic stroke likely due to atherosclerosis.
Cerebrovascular accident
Cerebrovascular accident refers to a stroke, which occurs when blood flow to the brain is interrupted. The document discusses the causes, types, symptoms, risk factors, and diagnostic evaluation of strokes. It also summarizes hypertension, myocardial infarction, and coronary artery disease - all of which can increase the risk of strokes if not properly managed.
Cva
The document provides information about protocols for treating patients exhibiting signs of an acute stroke or CVA. It outlines assessments and tests to determine if a patient is having a stroke, including the Cincinnati Pre-hospital Stroke Scale (CPSS) and Rapid Arterial Occlusion Evaluation (RACE). If CPSS is positive, RACE is used to determine stroke severity. Patients scoring 4 or higher on RACE should be transported to a Comprehensive Stroke Center if possible. Treatment protocols are also provided, focusing on airway management, vital sign monitoring, glucose testing, and seizure management. Transport is usually to the nearest Primary or Comprehensive Stroke Center.
ischemic stroke
The document provides information about strokes, including:
1) Strokes occur when the blood supply to the brain is interrupted or reduced, causing brain cells to die from lack of oxygen and nutrients. There are three main types of stroke: ischemic, hemorrhagic, and TIA.
2) Risk factors for stroke include hypertension, heart disease, high cholesterol, smoking, atrial fibrillation, diabetes, overweight/obesity, blood disorders, excessive alcohol, and certain medications. Symptoms appear suddenly and include confusion, weakness, vision problems, and trouble walking or talking.
3) Diagnosis involves physical exams, blood tests, CT/MRI scans, and other specialized tests. Treatment
Cerebrovascular Disease
This document provides information on ischemic and hemorrhagic stroke. It discusses the types, risk factors, pathophysiology, symptoms, diagnosis, and treatment of each. For ischemic stroke, it outlines the five types according to cause and details tPA administration criteria. For hemorrhagic stroke, it describes the types including intracerebral hemorrhage from aneurysms or arteriovenous malformations. Nursing interventions for recovery are also summarized.
CVA
The document provides information about protocols for treating patients exhibiting signs of an acute stroke or CVA. It outlines assessments and tests to determine if a patient is having a stroke, including the Cincinnati Pre-hospital Stroke Scale (CPSS) and Rapid Arterial Occlusion Evaluation (RACE). It describes treating potential underlying causes of stroke symptoms like hypoglycemia. It also notes the differences between primary and comprehensive stroke centers in terms of capabilities for treating patients.
Icp
This document provides information about neurological nursing related to increased intracranial pressure and head injuries. It discusses the anatomy and physiology of the brain, types of head injuries including primary and secondary injuries, complications such as hematomas, and management of increased ICP. Nursing assessments, diagnoses, and interventions are also reviewed, including monitoring for signs of increased ICP, maintaining airway and breathing, preventing injury, and using the Glasgow Coma Scale to assess level of consciousness.
Care for head injury joanne (1)
This document provides guidance on caring for patients with head injuries. It discusses assessing neurological status, managing blood pressure/volume, oxygenation, temperature, seizures, nutrition, positioning, bladder/bowel care, minimizing stimulation, safety, rehabilitation, and educating family members. Key aspects include monitoring vital signs, avoiding hypotension, maintaining oxygen levels, managing ICP rise through osmotherapy, keeping the patient normothermic, starting early rehabilitation, and supporting family members through the recovery process.
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The document defines brain death and describes the causes, diagnosis, and tests used to determine brain death. It states that brain death is the irreversible loss of brain function, including the brain stem. Common causes are traumatic brain injury, strokes, and brain hemorrhages which can lead to brain swelling and loss of oxygen. The diagnosis involves clinical exams and tests to check for reflexes and response to stimuli. Key tests include pupillary, corneal, oculocephalic, caloric, gag/cough reflexes and an apnea test. The diagnosis must be made by certain specialists and require exclusionary criteria before determining brain death.
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Helps with ADLs, transfers, mobility, etc.
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Death by Neurological Criteria and Organ Donation: Bill Knight
Bill Knight explains the concept of death by neurological criteria and the complexities surrounding organ donation in such situations.
Bill discusses the process of dying, the definition of death, how to approach the neurologically dead patient and how to consider organ donation.
Death is a complex topic.
Due to advancements in medical technology and processes, the definition of death is a challenging one.
Bill talks at length about the definition of death by the neurological criteria. Dying is an active process, whereas death is an event.
The acceptance of death by the neurological criteria is often challenging as Bill will highlight. Bill talks about the care of the dying or dead patient.
There is a point at which care will transition from supporting the patient to supporting the organs. This is still good care.
There is an alignment of parallel intentions – first and foremost resuscitation of patients and then failing that, proceeding to considering and actioning organ donation. This is important due to the shortage of viable donor organ worldwide.
The donation process itself is complex. Bill provides his thoughts. He insists that an intensivist be involved as this has been shown to increase the number of viable and healthy organs made available.
The timing is also important. Available evidence does not support the need for immediate procurement after brain death. Taking time to optimise perfusion and allow recovery and cardiac function is appropriate and should be done.
Bill also discusses other treatment options at the time of death such as optimising endocrine function.
Finally, Bill will provide some practical considerations when communicating with the dead patient’s family. This involves being clear on your messaging. You are supporting organs, not life.
To reinforce this point, Bill suggests not examining or talking to the patient. He also recommends using all of the available hospital support services.
Similarly, it is best to not introduce the topic of organ donation to the family yourself as the treating clinician. Utilise the Organ Procurement Organisations (or similar services) and get them involved early to speak with the family.
Join Bill Knight in his talk on the North American perspective on Organ Donation, brain death and management of the brain dead donor prior to organ donation.
For more like this, head to our podcast page. #CodaPodcast
AAYUSH PPT.pptx
1) Brain death is defined as irreversible cessation of all functions of the entire brain, including the brainstem. Tests to determine brain death include examining brainstem reflexes and performing an apnea test.
2) Organ donation provides terminally ill patients a new lease on life but organ availability is low in India. Living donors can donate renewable tissues while deceased donors are a major source of organs.
3) For organ donation to occur, all reversible causes of coma must first be excluded through testing and the diagnosis of brain death must be certified by a board of medical experts according to the law.
1 15Academic Clinical Histo
The document contains a clinical history and physical notes for a 52-year-old male patient presenting with cerebral ischemia (ischemic stroke). Key details include:
- The patient experienced sudden severe headache, dizziness, and slurred speech. Exam found facial drooping and difficulties with coordination and swallowing.
- Medical history includes hypertension and hypercholesterolemia. Surgical history includes prior neck surgery.
- Diagnostic tests (CT scan, MRI) found an ischemic stroke in the middle cerebral artery, with signs of intravascular thrombus.
- Assessment identifies the leading diagnosis as cerebral ischemia. Differential diagnoses include hemorrhagic stroke, subdural hemorrhage, and
1 15Academic Clinical Histo
1
15
Academic Clinical History & Physical Notes for Cerebral Ischemia
Muhammad Aftkhar
Grand Canyon University
December 04th, 2020
Academic Clinical History & Physical Notes for Cerebral Ischemia
I am presenting the academic clinical history and physical notes for the patient of ischemic stroke. Ischemic stroke or cerebral ischemia occurs when one of the cerebral arteries is blocked by the clot leading to diminished blood supply and oxygen to brain cells resulting in damage or death of brain cells (Celik et al., 2020)
History and Physical Note
1.Chief complaint/reason for admission/visit/consult.
A 52 years old male patient came to the acute care hospital with the chief complaint of sudden severe headache, dizziness, and slurred speech.
HPI for the H&P or consult notes.
The patient felt a severe burning and shooting pain in the frontal region of the head while he was reading the newspaper in the morning. The patient said that he developed blurred vision during reading. The patient felt numbness when the pain started (Harriot et al., 2020). The patient said that the pain was not subsiding with the time as it persisted since its onset. The pain scale was nine by 10, started in the frontal region, and radiated towards the temporal region. The associated symptoms with pain are nausea, vomiting, aphasia, dysarthria, apraxia, and vertigo (De Cock, et al., 2020). The symptoms become aggravate in a standing position and become alleviating when he lay down on the bed with 3 pillows. The patient felt a significant change in body posture. He is positive for facial drooping while negative for fever and chills. He finds difficulty in sitting and maintaining coordination. The patient stated that he had a medical history of neck trauma in a road accident. He was hospitalized for 3 weeks after neck surgery.
2.Medical, surgical, family, social, and allergy history.
Medical history
The patient has hypertension and hypercholesterolemia (Haegens, et al., 2018).
Surgical history
The patient underwent neck surgery after neck trauma at the age of 42.
Family history
The patient’s mother is alive and diabetic. The father of the patient died due to a cardiac stroke. His sister is normal. One of the two brothers has hypertension, and the other is normal. Currently, the patient is living with his normal wife.
Social history
The patient has a long history of smoking and boozing, coupled with a sedentary lifestyle.
Allergy history
· Raw fruits and vegetables, Shellfish, Soy.
· Amoxicillin and aspirin.
3.Home medications, including dosages, route, frequency, and current medications, if a consultation note.
Antihypertensive drugs Edarbi & Hygroton.
40 mg oral Edarbi once a day, as the patient is on diuretics, Hygroton. Oral 50 mg Hygroton once in the morning.
Hypercholesterolemic drugs Lipitor
Oral tablet 40 mg once a day. He takes this tablet at night.
4.Review of systems with all body systems for H&P or consult notes. Review of systems i ...
Neuro assessment hdsp final 10.09
The document provides an overview of performing a neurological assessment, including:
1) It describes assessing level of consciousness, cranial nerves, motor function, and response to painful stimuli.
2) Pupillary examination and response to light are important to check for brain injuries with bleeding or swelling.
3) The Glasgow Coma Scale is used to categorize a patient's level of consciousness.
Neuro assessment hdsp final 10.09
The document provides an overview of performing a neurological assessment, including:
1) It describes the anatomy and physiology of the central and peripheral nervous systems, potential injuries like traumatic brain injury, and signs of increased intracranial pressure.
2) It outlines how to evaluate a patient's level of consciousness, cranial nerves, motor function, and vital signs as part of the neurological exam.
3) The assessment aims to identify neurological deficits or changes that could indicate injuries to the head, brain, or spinal cord.
1 15 Academic
1
15
Academic Clinical History & Physical Notes for Cerebral Ischemia
I am presenting the academic clinical history and physical notes for the patient of ischemic stroke. Ischemic stroke or cerebral ischemia occurs when one of the cerebral arteries is blocked by the clot leading to diminished blood supply and oxygen to brain cells resulting in damage or death of brain cells (Celik et al., 2020)
History and Physical Note
1.Chief complaint/reason for admission/visit/consult.
A 52 years old male patient came to the acute care hospital with the chief complaint of sudden severe headache, dizziness, and slurred speech.
HPI for the H&P or consult notes.
The patient felt a severe burning and shooting pain in the frontal region of the head while he was reading the newspaper in the morning. The patient said that he developed blurred vision during reading. The patient felt numbness when the pain started (Harriot et al., 2020). The patient said that the pain was not subsiding with the time as it persisted since its onset. The pain scale was nine by 10, started in the frontal region, and radiated towards the temporal region. The associated symptoms with pain are nausea, vomiting, aphasia, dysarthria, apraxia, and vertigo (De Cock, et al., 2020). The symptoms become aggravate in a standing position and become alleviating when he lay down on the bed with 3 pillows. The patient felt a significant change in body posture. He is positive for facial drooping while negative for fever and chills. He finds difficulty in sitting and maintaining coordination. The patient stated that he had a medical history of neck trauma in a road accident. He was hospitalized for 3 weeks after neck surgery.
2.Medical, surgical, family, social, and allergy history.
Medical history
The patient has hypertension and hypercholesterolemia (Haegens, et al., 2018).
Surgical history
The patient underwent neck surgery after neck trauma at the age of 42.
Family history
The patient’s mother is alive and diabetic. The father of the patient died due to a cardiac stroke. His sister is normal. One of the two brothers has hypertension, and the other is normal. Currently, the patient is living with his normal wife.
Social history
The patient has a long history of smoking and boozing, coupled with a sedentary lifestyle.
Allergy history
· Raw fruits and vegetables, Shellfish, Soy.
· Amoxicillin and aspirin.
3.Home medications, including dosages, route, frequency, and current medications, if a consultation note.
Antihypertensive drugs Edarbi & Hygroton.
40 mg oral Edarbi once a day, as the patient is on diuretics, Hygroton. Oral 50 mg Hygroton once in the morning.
Hypercholesterolemic drugs Lipitor
Oral tablet 40 mg once a day. He takes this tablet at night.
4.Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).
General appearance
The patient shows facial we ...
1 15 Academic
1
15
Academic Clinical History & Physical Notes for Cerebral Ischemia
I am presenting the academic clinical history and physical notes for the patient of ischemic stroke. Ischemic stroke or cerebral ischemia occurs when one of the cerebral arteries is blocked by the clot leading to diminished blood supply and oxygen to brain cells resulting in damage or death of brain cells (Celik et al., 2020)
History and Physical Note
1.Chief complaint/reason for admission/visit/consult.
A 52 years old male patient came to the acute care hospital with the chief complaint of sudden severe headache, dizziness, and slurred speech.
HPI for the H&P or consult notes.
The patient felt a severe burning and shooting pain in the frontal region of the head while he was reading the newspaper in the morning. The patient said that he developed blurred vision during reading. The patient felt numbness when the pain started (Harriot et al., 2020). The patient said that the pain was not subsiding with the time as it persisted since its onset. The pain scale was nine by 10, started in the frontal region, and radiated towards the temporal region. The associated symptoms with pain are nausea, vomiting, aphasia, dysarthria, apraxia, and vertigo (De Cock, et al., 2020). The symptoms become aggravate in a standing position and become alleviating when he lay down on the bed with 3 pillows. The patient felt a significant change in body posture. He is positive for facial drooping while negative for fever and chills. He finds difficulty in sitting and maintaining coordination. The patient stated that he had a medical history of neck trauma in a road accident. He was hospitalized for 3 weeks after neck surgery.
2.Medical, surgical, family, social, and allergy history.
Medical history
The patient has hypertension and hypercholesterolemia (Haegens, et al., 2018).
Surgical history
The patient underwent neck surgery after neck trauma at the age of 42.
Family history
The patient’s mother is alive and diabetic. The father of the patient died due to a cardiac stroke. His sister is normal. One of the two brothers has hypertension, and the other is normal. Currently, the patient is living with his normal wife.
Social history
The patient has a long history of smoking and boozing, coupled with a sedentary lifestyle.
Allergy history
· Raw fruits and vegetables, Shellfish, Soy.
· Amoxicillin and aspirin.
3.Home medications, including dosages, route, frequency, and current medications, if a consultation note.
Antihypertensive drugs Edarbi & Hygroton.
40 mg oral Edarbi once a day, as the patient is on diuretics, Hygroton. Oral 50 mg Hygroton once in the morning.
Hypercholesterolemic drugs Lipitor
Oral tablet 40 mg once a day. He takes this tablet at night.
4.Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).
General appearance
The patient shows facial we ...
Introduction to seizure, epilepsy and EEG
A brief introduction to the diagnosis of seizure and epilepsy, timing to initiate the antiepleptics and the role of EEG
Module 11 Updated Student Copy.pptx
This document provides an overview of neurologic disorders, focusing on head trauma and spinal cord injury. It discusses the pathophysiology, clinical manifestations, classifications, and initial management of traumatic brain injury and spinal cord injury. Some key points include:
- Head trauma is a broad classification that includes injury to the scalp, skull, or brain and is a leading cause of death from trauma.
- Primary brain injury occurs at the time of impact while secondary injury involves damage over subsequent hours and days.
- Spinal cord injury results in loss of motor, sensory, and autonomic function below the level of injury. It can cause spinal shock, neurogenic shock, or autonomic dysreflexia.
ICP.pptx
This document discusses intracranial pressure (ICP) and factors that influence it such as cerebral blood flow. It defines normal ICP and describes how ICP can be measured. Increased ICP is discussed including potential causes such as cerebral edema and mass lesions. Clinical manifestations of increased ICP are outlined including changes in vital signs, ocular signs, decreased motor function, and headache. Diagnostic studies and collaborative therapies to manage increased ICP are also summarized.
Brain Based Therapy Workshop
This is part of my Brain Based Therapy workshop I teach for fibromyalgia, dizziness, insomnia, and chronic pain patients.
neurological disoder and sign symptoms causes
The document discusses neurological disorders and provides details about cerebrovascular accidents (strokes). It describes the blood supply to the brain from arteries like the internal carotid and vertebral arteries. There are two main types of strokes - ischemic caused by blockage and hemorrhagic caused by bleeding. Symptoms can include weakness, difficulty speaking, and vision issues. Diagnosis involves scans and tests of the blood. Treatment depends on the type but may include clot-busting drugs or surgery. Lifestyle changes can help prevent strokes by maintaining healthy blood pressure and cholesterol levels.
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Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
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EUR毕业证offer【微信95270640】《鹿特丹伊拉斯姆斯大学毕业证书原版制作EUR成绩单》【Q微信95270640】《仿制EUR毕业证成绩单鹿特丹伊拉斯姆斯大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
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CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Pediatric Emergency Care for Children | Apollo Hospital
Pediatric Emergency Care for Children | Apollo HospitalApollo 24/7 Adult & Paediatric Emergency Services
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
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Healthy Eating Habits:
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Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
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Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
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Resources: Provide contact information and links for further support.
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R3 Stem Cell Therapy: A New Hope for Women with Ovarian Failure
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
Anoxic brain injury and braindeath info for patient's families
- 1. Anoxic brain injury and neurological braindeath : Information for patients and families Vancouver General Hospital Intensive Care Unit Myp Sekhon MD Clinical Instructor, Staff Intensivist Vancouver General Hospital Division of Critical Care Medicine University of British Columbia
- 2. Outline Definition Etiologies Imaging Management Prognosis Braindeath Definition Anoxic brain injury occurs when the brain does not receive enough oxygen to stay alive. Most commonly, this scenario happens after the heart stops pumping (a “cardiac arrest”).
- 3. Outline Definition Etiologies Imaging Management Prognosis Braindeath What causes the heart to stop beating? An abnormal rhythm (electrical abnormality) of the heart can stop it from beating Depending on the type of electrical abnormality, the problem might be inside the heart or another problem in the body causing the heart to stop An investigation will be conducted to find the underlying problem, if possible
- 4. Outline Definition Etiologies Imaging Management Prognosis Braindeath What happens to the brain after a cardiac arrest? The brain is the most important organ in the body Unfortunately, the brain does not have a storage of energy If it stops receiving blood flow and oxygen from the heart / lungs, it will start to become irreversibly damaged after only 4 minutes without blood supply If blood flow (delivery of oxygen) is not restored, the brain will start to die and it can become very swollen
- 5. Outline Definition Etiologies Imaging Management Prognosis Braindeath How do we know the brain is damaged? We use multiple methods of assessment to determine the severity of brain injury after a cardiac arrest: •Clinical examination •History – initial abnormal rhythm, duration without blood supply, if the patient received immediate CPR etc. •CT scans •Tests measuring the electrical activity of the brain
- 6. If blood is restored to the brain (heart re-started) then our focus is optimize the delivery of oxygen to the brain This is achieved by: •Maintain blood pressure with medications to allow the heart to pump blood to the brain •We control the temperature of the body – this is done to prevent a fever which make the brain use more oxygen and potentially cause more injury •We used sedation medications to “rest” the brain and allow time for healing. This is usually for 24-48 hours. Outline Definition Etiologies Imaging Management Prognosis Braindeath How do we treat patients with brain damage after a cardiac arrest?
- 7. Outline Definition Etiologies Imaging Management Prognosis Braindeath Prognosis? The prognosis of most patients is poor (~50-70%). Predictors of poor outcome include: •Older age •Multiple previous diseases (heart disease, diabetes, kidney disease, lung disease etc) •Long duration of cardiac arrest •Unwitnessed cardiac arrest •Poor clinical examination (we will help with this)