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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50 Comments

  1. Sonam Dechey on February 13, 2020 at 9:27 pm

    Thank you so much for your efforts to help all the nurses worldwide. You are my inspiration <3

  2. c philly20 on February 13, 2020 at 9:27 pm

    Shes so gorgeous

  3. Silvanus on February 13, 2020 at 9:29 pm

    Great job, this is what I exactly want, thanks 🙏. Keep it up

  4. Amy A on February 13, 2020 at 9:30 pm

    IO am only nine but still intrested

  5. Huyen Dinh on February 13, 2020 at 9:30 pm

    Thank you!

  6. RAJESH SONI on February 13, 2020 at 9:31 pm

    Very honestly work and good work

  7. Denisa Seitllari on February 13, 2020 at 9:32 pm

    You’re the reason nursing school makes sense <3

  8. HAMID MOHAMMED on February 13, 2020 at 9:34 pm

    great instructor,,,

  9. shenna cruz on February 13, 2020 at 9:34 pm

    Oncology please

  10. RegisteredNurseRN on February 13, 2020 at 9:39 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

  11. dream2 ceylone on February 13, 2020 at 9:40 pm

    Thank you sharing Great information

  12. igonzalez4319 on February 13, 2020 at 9:40 pm

    I’ve been a nurse for a while and I pretty much know most of this, your videos helped me immensely back when I first started but I still go back every now and then just to listen to that wonderful accent

  13. Mr Khan on February 13, 2020 at 9:41 pm

    Very nice Explanation , I experinced right side Paralysis, ,,, Thanks

  14. CARMEN M PONTE GALAN on February 13, 2020 at 9:42 pm

    thank you so much! all of them are awesome!

  15. Emily Labitzke on February 13, 2020 at 9:44 pm

    Thank you Sarah so much for all of your videos! These help me so often to cover additional material that instructors aren’t very detailed on! You simplify things so well! So glad I found your site a while back!

  16. F Lamy on February 13, 2020 at 9:44 pm

    I always said I was going to write this and here is my chance. I just want to say thank you for all the wonderful, organized, and detailed videos you have posted that have helped me throughout my nursing career as a student. Tomorrow is my pinning ceremony (YAY!) Class ’19! and I just want to thank you for being apart of my journey with all that you do and will continue to do Sarah! I have never in my nursing career found anyone who could break down and explain Medsurg topics the way you do! You are the best!

  17. RAJESH SONI on February 13, 2020 at 9:45 pm

    Best and better and good for exam

  18. sella. ngella. on February 13, 2020 at 9:49 pm

    Next week I have an exam and I saw your explanations and that really help me to understand defficult concepts

  19. Jer on February 13, 2020 at 9:50 pm

    Very helpful and well explained topic. God bless and more power.

  20. Sandra Delgadillo on February 13, 2020 at 9:51 pm

    Smoking thickens the blood

  21. ellvishie on February 13, 2020 at 9:52 pm

    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 .
    Very good video

  22. Truly hidden on February 13, 2020 at 9:55 pm

    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

  23. RAJESH SONI on February 13, 2020 at 9:55 pm

    Great and awesome job and work ,mem

  24. farhad sayed on February 13, 2020 at 9:57 pm

    Most complete Lecture… thank you very very much.

  25. spice faith on February 13, 2020 at 9:58 pm

    thnk u sara

  26. William Gratchic on February 13, 2020 at 9:59 pm

    Fantastic review. Not only are you brilliant, you have the valuable communication skill that relates to your audience adult to adult. Bless you.

  27. JIMIN has JAMS! on February 13, 2020 at 10:00 pm

    Thank you so much I love your videos! keep it up amazing nurse! i m a student nurse in Malaysia n i always watched your videos and learn a lot with motivation. by the way your voice is so nice~~

  28. Jessica Bickley on February 13, 2020 at 10:03 pm

    Thank you so much for these videos, Sarah!

  29. Barbara Mccarthy on February 13, 2020 at 10:04 pm

    Very helpful,thank you Sarah.

  30. Rudi Duke on February 13, 2020 at 10:05 pm

    excellent

  31. Beena George on February 13, 2020 at 10:07 pm

    Hi Sarah, I’m so impressed with your video. It is very thorough and covers all relevant information for nurses. I’m a nurse and I’m really keen to use this video to teach my fellow nurses. Can I get your permission to use this video for educational purpose please?thank you.

  32. RAJESH SONI on February 13, 2020 at 10:07 pm

    Good

  33. NurseCassieRN Experience on February 13, 2020 at 10:07 pm

    Excellent videos

  34. Marissa Buzby on February 13, 2020 at 10:08 pm

    This was my first time using your videos to help me study and I got my best test grade yet! I love your videos and will definitely continue to watch and recommend to all of my nursing friends. Thank you so much!!!

  35. Mohammed Abdelkrim on February 13, 2020 at 10:10 pm

    Thank you so much for your helpful videos for all nurses

  36. RAJESH SONI on February 13, 2020 at 10:11 pm

    Nice work ,very hard work to making video.

  37. JosÉ Ernesto Mendoza on February 13, 2020 at 10:11 pm

    Thank for your teachings,greetings from Peru

  38. Antigravityskateshop on February 13, 2020 at 10:13 pm

    🐐🐐🐐🐐🐐 status. You are the best

  39. David Renteria on February 13, 2020 at 10:13 pm

    Thank you so much for these videos. They have helped me so much!

  40. Nurse Nicki on February 13, 2020 at 10:14 pm

    Still so helpful!

  41. Wenard Rizabal on February 13, 2020 at 10:15 pm

    I’m planning to take BSN this school year and it would be great and awesome that there’s a perfect youtube channel for me to learn easily. Thank you for your comprehensive teaching videos!!!

  42. Stephen Cherish on February 13, 2020 at 10:17 pm

    Thank you so much… Your Lecture are all awesome. I believe am Going To pass my Exams..

  43. Da Ni on February 13, 2020 at 10:18 pm

    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

  44. Ratan Kalita on February 13, 2020 at 10:19 pm

    I like this vedeo .

  45. RAJESH SONI on February 13, 2020 at 10:20 pm

    Awesome job and excellent work

  46. anthony faria on February 13, 2020 at 10:21 pm

    God bless you!From Brazil.

  47. Lian Liu on February 13, 2020 at 10:22 pm

    I LOVE YOU AND YOUR VIDEO

  48. May 2000 on February 13, 2020 at 10:23 pm

    My whole class will love a video on spinal cord injury…please please please….and thank you 😊.

  49. Muntaha Ousman on February 13, 2020 at 10:25 pm

    Your lectures are amazing. Good job u r full of knowledge.

  50. claudette sergio on February 13, 2020 at 10:26 pm

    Hi!can you please make a video for SLE?please! thank you for your videos, it is simple and easy to understand.

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