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Stroke - Coggle Diagram
Stroke
Clinical Manifestation
Paralysis or numbness of the face, arm or leg.
Trouble speaking and understanding what others are saying, difficult to understand people and experiencing some confusion.
Headache, that headache may be associated with nausea and vomiting, dizziness which will indicate stroke.
Problems seeing in one or both eyes may be blackened vision in one or both eyes.
Unable to walk, which may loss of balance and coordination sudden dizziness.
Treatment & Management
Surgical clipping -A surgeon places a tiny clamp at the base of the aneurysm in order to stop blood flow to it, the clamp will keep the aneurysm from breaking
Emergency IV medication - Administration of drugs can break up a clot, it must be given within 4 - 5 hours from when clinical manifestation appears given intravenously.
Emergency measures - If a patient is in blood-thinning medications to prevent blood clots, it may administered drugs to counteract the blood thinners effects of blood clot.
Administration of Medication - Must be delivered straight into the brain, Doctors may insert the tune through an artery in the groin and thread it to the brain to deliver tPA directly where the stroke is occurs.
Removal of the clot within stent retriever -Doctors may use a device attached to a catheter in order to directly remove the clot from the blocked blood vessel in the brain
Nursing Care Plan
Rationales
Some Tissue in the body are more easily traumatized and heals more slowly.
Expected Outcomes
Patient will maintain strength and function of affected or compensatory body part.
Patient will demonstrate strategies that enable resumption of activities
Nursing Intervention
A Nurse must observe affected side for color, edema, or other signs of compromised circulation
Nursing Diagnosis
Impaired Physical Mobility
Pathophysiology
However, the blood flow to the brain is controlled by two internal carotids anteriorly and two vertebral arteries posteriorly, whereas if the supply of blood fails will lead a person to suffer from stroke.
A stroke occurs when there is a blockage in human blood vessels or bleed of the blood vessels which can make the supply of blood to the brains and tissues to decreases.
Suddenly, if the circulation of blood into the brain loss will result in a corresponding loss of neurologic function that leads to the brain cells to die immediately.
Aetiology
Blocked of blood vessels are caused by fatty deposits that make up in blood vessels in order to travel into the bloodstream in the brain.
It happens when the blood vessels of the brain become damaged or blocked, causing severely reduced blood flow which is ischemia
It happens when a blood vessel in the brain breaks, therefore brain hemorrhages can result from many conditions that can damage blood vessels which is Hemorrhagic
References
Ferri FF. Stroke, ischemic. In: Ferri's Clinical Advisor 2020. Elsevier; 2020.
https://www.clinicalkey.com
. Accessed Oct. 5, 2019
Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences
Lewis, S. M., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Harding, M. (2017). Medical-surgical nursing
Risk Factors
2) Lifestyle Risk Factors
Physical Inactive
Use of illegal drugs such as cocaine and methamphetamine
Being overweight or obese, by eating too much food can lead you to be obese.
1) Medical Risk Factors
Cigarette smoking can damage the lungs where there will be insuffient of blood supply
High cholesterol, to eat food stuff that contain sugar can lead to Diabetes and having high cholesterol.
Hypertension is associated with stroke, so high blood pressure may lead to suffer from stroke
Cardiovascular disease, including heart failure, heart defects, heart infection or abnormal heart rhythm