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Stroke https://nurseslab.com - Coggle Diagram
Stroke
https://nurseslab.com
Defination
Sudden loss of brain function
Resulting from disruption of blood supply to part of the brain
This is a functional abnormality of central nervous system
Causes
Fatty plagues in brain
Artrial fabrillation
Pathophysiology
Disruption in blood flow
Initiates series of ellular metabolic events
Ischemic cascade begin as cerebral blood flow decreases
Neurons fail to maintain aerobic respiration
Mitochondria need to switch to anaerobic respiration
Generate large amount of lactic acid
Causing PH changes, neurons fail producing enough ATP
Membrane pump fail to maintain electrolyte balance
Cells stop to function
Clinical manifestations
Confusion
Dizziness
Severe headache
Visual disturbance
Face,arm or leg numbness
Walking dfficulties
Loss of balance
Failure to speak
Nursing care plan
Nursing diagnoses
Disturbed thought process related to brain damage
Impaired mobility related to loss of balance and coordination
Nursing interventions
Change patients position 2 hourly to relieve pressure
Elevate affected arm/leg to prevent oedema and fibrosis
Provide range of motion to maintain joint mobility
Do passive exercises to bed bound patients to prevent thrombosis
Provide emotiona support to prevent discouragement
Consult speech therapist to assist in speaking and swallowing techniques
Diagnostic test
CT scan
MRI
Lumbar puncture