Stroke Nursing (CVA) Cerebrovascular Accident Ischemic Hemorrhagic Symptoms Treatment tPA
Stroke Nursing (CVA) Cerebrovascular Accident Ischemic Hemorrhagic Symptoms Treatment tPA
Stroke nursing (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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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
Thank you sharing Great information
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Very nice Explanation , I experinced right side Paralysis, ,,, Thanks
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I see the video in NICU for l hemiplegia due to stroke which was rxed with qtPA iv within 2 hours with full resolution of all symptoms .
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Thank you SO MUCH! I’ve just completed my nursing training (whoo hoo) and I’m about to start my new nursing job at an amazing hospital, doing the nursing rotation programme and I’ve just found out I’ll be on a stroke ward. I really needed this 🙌. You have been such an amazing help over these last 3 years, you’ll never really know how much you are appreciated. All the work you do and put in. With all my heart, thank you so much x
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Hi I suffered a stroke a few weeks back my right arm leg are numb pin and needles and view of both eyes on right side blind does that mean I had a stroke on left of brain I’m confused I had my stroke on holiday I didn’t understand the great doctors I just learn from you that the loss of sight on one side of each eye is called hemianopia thank you i was looking for name but must videos called it blindness can this bebe cured does it go away or am I left blind in eyes
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