The 3rd most common cause of death in the United States - ✅✅Stroke
Objectives for nursing care of strokes
> Reduce the ____ factors
> Manage ____ types of stroke immediately after occurrence
> _____ stroke complications
maximize ____ of ____ after a stroke - ✅✅risk, 2, prevent, quality, life,
Risk factors for stroke - ✅✅HTN, smoking, obesity/ metabolic syndrome
Heart disease
heavy alcohol use
Drug abuse
Sleep apnea
Physical inactivity
Two types of strokes - ✅✅Blockage or bleed
both managed differently
Ischemic stroke - ✅✅blockage created, associated with vascular damage, dyslipidemia,
atherosclerosis, coagulation disorder
dyslipidemia - ✅✅Abnormal (excess or deficient) level of lipoproteins in the blood.
atherosclerosis - ✅✅A disorder in which cholesterol and calcium build up inside the walls of the blood
vessels, forming plaque, which eventually leads to partial or complete blockage of blood flow.
, Hemorrhagic stroke - ✅✅Bleeding occurs suddenly, less common and often fatal.
2 types of ischemic stroke - ✅✅Thrombotic and Embolic
Embolic stroke - ✅✅moving clot travels to brain or heart
embolic is more rapid/ onset
Thrombotic stroke - ✅✅Clot forms in the brain, more gradual blockage of artery
what kind of stroke has a more rapid onset:
embolic or thrombotic? - ✅✅Embolic is more rapidly onset because they carry debris with them,
where as thrombotic form gradually over time
Hemorrhagic stroke
1. strongly linked to _____
2. preexisting vessel _____ - ✅✅
Hemorrhagic stroke symptoms - ✅✅numbness, confusion, trouble seeing,
weakness of face, arm, leg on side of body
sudden trouble walking, dizziness, loss of balance
Sudden severe headache " worst headache of my life"
Effects of stroke on brain
a. _____ activity
b. Sensation, spacial ______ alterations
c. _____ functions, level of consciousness