Stroke Nursing (CVA) Cerebrovascular Accident Ischemic Hemorrhagic Symptoms Treatment tPA

Stroke nursing NCLEX review (CVA) cerebrovascular accident lecture on ischemic and hemorrhagic strokes along with nursing care, tPA, symptoms, treatments, and pathophysiology.

A stroke occurs when blood rich in oxygen can NOT reach brain cells (due to either a blockage or bleeding) and the cells begin to die.

Types of stroke:

Ischemic (most common) is due to a blood clot within the blood vessel or stenosis of an artery feeding the brain tissue. This limits the blood that can reach the brain cells. This can happen due to:

-Embolism: where a clot has left a part of the body (example the clot has left the heart due to a heart valve problem or atrial fibrillation) and has travelled to the brain, which stops blood flow.

-Thrombosis: a clot forms within the artery wall within the neck or brain. This is seen in patients with hyperlipidemia and atherosclerosis

Hemorrhagic: there is bleeding in the brain due to a break in a blood vessel. There will be limited blood flow to the brain cells and this can cause excessive swelling in the brain from the leakage of blood in the brain tissue. A ruptured brain aneurysm or uncontrolled hypertension can cause this.

In addition, a patient can experience a TIA (transient ischemic attack) also called a mini-stroke. This is where signs and symptoms of a stroke last only a few minutes to hours and resolve. It is a warning signs an impending stroke may occur.

Stroke symptoms include: facial drooping, arm numbness or weakness, slurred speech or difficulty talking etc.

Treatment for stroke (specifically an ischemic type) is tPA (tissue plasminogen activator). This medication works to dissolve the clot that has caused th decreased blood flow. However, tPA must be administered within 3 hours of the onset of stroke symptoms.

Nursing care for stroke includes: monitoring vitals (especially blood pressure, respiratory status), watching and educating the patient with neglect syndrome (this most likely occurs with patients who’ve had a right brain injury), diet and swallowing techniques, hemianopsia, and how to communicate with a patient with aphasia (watch the video for more in depth nursing interventions for stroke).

Stroke NCLEX Questions: http://www.registerednursern.com/stroke-cva-nclex-questions/

Notes: http://www.registerednursern.com/stroke-nclex-review/

More Neuro Videos: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVPDxuXWcpmg42nNXdjA9FD

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50 Comments

  1. Patricia Logan on November 23, 2020 at 8:47 pm

    You are the best teacher :))

  2. Daff Combat on November 23, 2020 at 8:47 pm

    Thanks for the helpful info

  3. monika sharma on November 23, 2020 at 8:48 pm

    such a blessing you are…. thanks alot!!!!!!!!!!!!!!!

  4. Yosan Negga on November 23, 2020 at 8:51 pm

    God bless you!

  5. Ana SC on November 23, 2020 at 8:52 pm

    You make anatomy and pharmacology very interesting.

  6. RegisteredNurseRN on November 23, 2020 at 8:55 pm

    Hello Everyone! Thank you so much for watching the video. I hope this helps with your neuro studies! Don’t forget about:
    Quiz: http://www.registerednursern.com/stroke-cva-nclex-questions/
    Notes: http://www.registerednursern.com/stroke-nclex-review/
    More Neuro Videos: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVPDxuXWcpmg42nNXdjA9FD

  7. Mohammed Haris on November 23, 2020 at 8:55 pm

    Very nicely showed vidio

  8. Chloe on November 23, 2020 at 8:56 pm

    i can listen to you all day

  9. Seema Joseph on November 23, 2020 at 8:58 pm

    Can u make video on post operative complications and nursing interventions

  10. Vivek Khadye on November 23, 2020 at 8:58 pm

    par exccellence

  11. GardenStateSM on November 23, 2020 at 9:00 pm

    This was a great teaching. Thank you!

  12. sara frozanfar on November 23, 2020 at 9:01 pm

    Thank you sooo much !!!

    You saved my day !! 😊

  13. Leisa claveria on November 23, 2020 at 9:02 pm

    You are amazing.. your video is helpful to me ♥️🙏 thanks

  14. Susana Barberan on November 23, 2020 at 9:02 pm

    thanks for all your videos, because of you I am a nurse 🙂

  15. Sarah Tiglao on November 23, 2020 at 9:04 pm

    I’m a foreign nurse USRN working in ED and I still watch your videos. Thank you for your videos ❤️

  16. Dan Qi on November 23, 2020 at 9:04 pm

    Sarah did a fantastic job walking through the entire stroke session, very through and comprehensive. Thank you so much! Very helpful

  17. Generation X on November 23, 2020 at 9:04 pm

    I’m a "fit and acitve" 52 year old woman who just had my 2nd stroke less than 2 weeks ago. My first one was an eye stroke in 2009.
    This time I was diagnosed with PFO among other things.. and still pending.
    Many follow ups to come.
    This is not my first rodeo being sick.
    I have stage 3 CKD, I had stage 3 cancer in 2005.. the list goes on, despite me being extremely proactive in my self care for decades.
    This is very interesting to me and extremely easy to understand and follow. I’ve watched many of your videos. You have a gift and are truly an asset to the world. You’re a gem.💎
    Thank you! ❤🙏🏽

  18. Tefera Yohannes on November 23, 2020 at 9:06 pm

    Lovely.

  19. M.Toufiq Bawany on November 23, 2020 at 9:06 pm

    U are so beautiful

  20. Penguin Shoes on November 23, 2020 at 9:09 pm

    I love your videos. I do know enough relative to this one to produce my own lecture. Some stroke patients may have smaller areas of visual deficits which may preclude them from driving, leaving enough of a minor blind spot to pose an accident risk.
    Smoking and oral contraceptive use=16x stroke risk. It is possible to see a user of both have a stroke in their 20s.
    A layer of the arterial wall is made of collagen and elastin. You need vitamin C for collagen fibers to stick together. Smoking depletes vitamin C, as well as damaging the endothelial layer. Cholesterol patches the potholes, and calcium will smooth the bumpy patch job, reducing elasticity while blocking blood flow.

  21. Mark Fisher on November 23, 2020 at 9:11 pm

    Sarah:
    These are extremely informative and well presented. Thank you very much for making these available

    Mark Fisher
    EMT, National Ski patrol

  22. رؤى ابوعلامه on November 23, 2020 at 9:12 pm

    Good teacher’s nurse

  23. Jennifer ray on November 23, 2020 at 9:13 pm

    Thank you so much, very easy to understand.

  24. Qurana Virus on November 23, 2020 at 9:14 pm

    💍 for you

  25. Kamana Mulenga on November 23, 2020 at 9:14 pm

    Thanks for the good lecture i have learnt a lot may god continue blessing you

  26. Kim Infante on November 23, 2020 at 9:15 pm

    You are my favorite 🙌🏽

  27. Mahesh sharma creation on November 23, 2020 at 9:17 pm

    You are awesome

  28. Jhenelle Tyson on November 23, 2020 at 9:19 pm

    Thank you for this!! I love your videos, They are really helpful.

  29. Samatha Parrish on November 23, 2020 at 9:21 pm

    You are a gift that keeps on Giving!!!! May God bless you and Keep!!

  30. ginny7006 on November 23, 2020 at 9:21 pm

    Does anyone know how we can donate to her channel? She is absolutely amazing!

  31. amombi rachel aku on November 23, 2020 at 9:22 pm

    Am so greatful I found u, ure teachings are so good and easy to uds, may God continue to bless u for this great work dat u are doing

  32. Vibhavasu jnawali on November 23, 2020 at 9:22 pm

    Even a good doctor and professor are not able to teach so clearly and simply like you do…an angel for medical professionals.

  33. Jovelle Asuncion on November 23, 2020 at 9:26 pm

    Thank you so much….

  34. H J on November 23, 2020 at 9:28 pm

    Serah I’m from Bethlehem- everyone I meet at my town, Palestine or Isreal. I tell them about you. Just to let you know, you became very popular here, and we LOVE you SO much.
    You are RARE. Blessing <3

  35. iqra eman on November 23, 2020 at 9:29 pm

    I am Slp from Pakistan
    Hatts off✌🏻

  36. Wendy Little on November 23, 2020 at 9:29 pm

    Thank you so much!

  37. gardintyven on November 23, 2020 at 9:29 pm

    Thank you from Denmark🙂

  38. Tewesk on November 23, 2020 at 9:30 pm

    Thank you Nurse, I am an interpreter and finds this very useful for my profession, as It helps me to have a general understanding of the condition and terminologies that are used with it. Thanks!

  39. ASHOK RATNA CHAURASIA on November 23, 2020 at 9:34 pm

    i love you , you teaching is excellent , i would like to marry you ,but the big problem is that i am only 23

  40. معلومه عالطاير on November 23, 2020 at 9:34 pm

    very good

  41. Robert E. on November 23, 2020 at 9:37 pm

    God, I could listen to your voice forever.

    And I’m a yankee ;o)

  42. Anilkumar Kommanapally on November 23, 2020 at 9:37 pm

    Thanks for your great efforts its a very informative

  43. VViper Beehumble on November 23, 2020 at 9:39 pm

    The only person who means anything to me in nursing school……May you always get ur hearts desires

  44. Andrea Solis on November 23, 2020 at 9:41 pm

    You are truly molding future nurses all over the country & world. I am SO grateful for you, your channel, and for making your content so accesible to us all. Thank you Sarah!

  45. Ankita Thakur11 on November 23, 2020 at 9:41 pm

    I wish you were my lecturer 😍
    Thank you so much😀😀
    Your lectures and notes are so helpful and covers every single thing and the quiz questions are also very good😊
    Thank you again.. You are just a brilliant teacher😀

  46. Ajoke Urediya on November 23, 2020 at 9:42 pm

    You are a born tutor.

  47. Lilian Onsarigo on November 23, 2020 at 9:44 pm

    you have made my nursing school a walk in the park.

  48. Jm Razon on November 23, 2020 at 9:44 pm

    Please make a video about Transient Ischemic Attack as well. I love your videos.

  49. Sheridan S on November 23, 2020 at 9:44 pm

    Thank you! This is going to help me with my lab test today

  50. Evangeline Battle on November 23, 2020 at 9:46 pm

    Sarah you’re an awesome and amazing instructor

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