Kristen Frey
STUDENT NAME _____________________________________
CVA/Stroke
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
a cerebrovascular accident occurs when there is (1)
- impaired commmunication ischemia (inadequate blood flow) to a part of the brain or
-regular BP screening and adhering to HTN if
prescribed
-risk for aspiration (2) hemorrhage into the brain that results in death of brain
cells (3) TIA, comes and goes, warning
-smoking cessation
-impaired mobility -eating a diet rich in fruits and vegiies, low saturate fat
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings -impaired gag
-HTN -cerebral edema reflex
-Diabetes -headache -impaired mobility
-Smoking -impaired
-age
-motor deficits
-genetics -aphasia swallowing and
speech
-spatial perceputal
problems
Laboratory Tests Diagnostic Procedures
-Troponin 1 -CT scan
-Creatine Kinase-MB -MRI
-Coagulation studies: PT, PTT -ECG
-Lipid Profile
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education - increased ICP
-aspiration
-screen pateitns for contraindications for tPA therapy
-tPA (if signed -reduce salt and sodium intake
-assess respiratory status and stat necessary
-exercise 40 min 3-4x a week
-pneumonia
actions
off by provider) -UTI
-assess neuorlogical status, including ICP
-follow prescribed treatment
- monitor CV status including hemodynamic
monitoring -antiplatelets plan -seizures
-calculate i&Os noting imbalances
-anticoagulants -limb contractures
-antiHTN
-beta blockers
-ACE inhibitors F- facial drooping
A- asymmerty
Therapeutic Procedures Interprofessional Care S- slurred speech
T- time patient was last seen normal
-PT/OT - PCP
-Drug therapy - caridologist
-PT/OT
-speech therapy
ACTIVE LEARNING TEMPLATES