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Neurological disorder
Stroke Stroke 2 - Coggle Diagram
Neurological disorder
Stroke
Definition : It is a sudden loss of brain function resulting from a disruption of the blood supply to a part of the brain.
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Pathophysiology
Decreased cerebral blood flow. The ischemic cascade begins when cerebral blood flow decreases to less than 25 mL per 100g of blood per minute.
Aerobic respiration. At this point, neurons are unable to maintain aerobic respiration.
Anaerobic respiration. The mitochondria would need to switch to anaerobic respiration, which generates large amounts of lactic acid, causing a change in pH and rendering
Loss of function. The membrane pumps that maintain electrolyte balances fail and the cells cease to function.
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Nursing assessment
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Eye opening, comparative size of pupils, and pupillary reaction to light.
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Nursing care plan
Position to prevent contractures, relieve pressure, attain good body alignment, and prevent compressive neuropathies.
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Exercise is helpful in preventing venous stasis, which may predispose the patient to thrombosis and pulmonary embolus.
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Consult with a speech therapist to evaluate gag reflexes and assist in teaching alternate swallowing techniques.