CEREBROVASCULAR DISORDERS A Nursing Approach in the Management of BY: DAVE JAY S. MANRIQUEZ BSN,RN.
CEREBROVASCULAR DISORDERS An umbrella term that refers to any functional abnormality of the central nervous system that occurs when the normal blood supply to the brain is disrupted.
 
STROKE a sudden neurological event which results in the new onset of neurological symptoms.
TYPES  of STROKE
 
ISCHEMIC STROKE “ BRAIN ATTACK”
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MOTOR LOSS -disturbance of voluntary motor control on the side of the body opposite the location of the stroke lesion Hemiplegia Hemiparesis
COMMUNICATION LOSS Dysarthria Apraxia Agnosia Dysphasia or Aphasia
 
 
PERCEPTUAL DISTURBANCES Homonymous Hemianopsia Disturbance in Visual-Spatial Relations - Unilateral Neglect Loss of Peripheral Vision Night Blindness Diplopia Horner’s Syndrome
 
 
 
 
 
SENSORY LOSS Slight Impairment of Touch Loss of Proprioception Difficulty in interpreting visual, tactile, and auditory stimuli
COGNITIVE IMPAIRMENT & PSYCHOLOGICAL EFFECTS
ASSESSMENT & DIAGNOSTICS Patient History Complete Physical and Neurologic Examination Initial Assessment: Airway Patency, Cardiovascular Status, Gross Neurologic Losses Stroke Time Course Classification
STROKE TIME COURSE CLASSIFICATION Stage 1: Transient Ischemic Attack Stage 2: Reversible Ischemic Neurologic Deficits Stage 3: Stroke in Evolution Stage 4: Completed Stroke
DIAGNOSTIC TESTS CT Scan 12-Lead ECG  Carotid ultrasound Cerebral Angiography Transcranial Doppler Flow Studies Transthoracic or Transesophageal Echocardiography MRI of the brain and/or neck  Xenon CT  Single Photon Emission CT
 
 
 
 
 
 
 
 
MEDICAL MANAGEMENT Treatment of TIA from atrial fibrillation or suspected embolic or thrombotic causes Thrombolytic Therapy for Ischemic Stroke Therapy for Patients with Ischemic Stroke NOT Receiving Thrombolytic Therapy Managing Potential Complications
 
SURGICAL MANAGEMENT CAROTID ENDARTERECTOMY - Main surgical procedure for the management of TIAs and small stroke - Indicated for patients with symptoms of TIA or mild stroke found to be due to carotid stenosis  -  Complications : stroke, cranial nerve injuries, infection, hematoma at the incision site, carotid artery disruption
 
 
 
NURSING MANAGEMENT Improving Mobility and Preventing Joint Deformities Managing Sensory-Perceptual Difficulties Attaining Bowel and Bladder Control Improving Thought Processes Improving Communication Maintaining Skin Integrity Improving Family Coping Helping the Patient Cope with Sexual Dysfunction
 
 
HEMMORHAGIC STROKE CEREBRAL ANEURYSM SUBARACHNOID HEMORRHAGE
 
 
 
 
 
 

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  • 1.
    CEREBROVASCULAR DISORDERS ANursing Approach in the Management of BY: DAVE JAY S. MANRIQUEZ BSN,RN.
  • 2.
    CEREBROVASCULAR DISORDERS Anumbrella term that refers to any functional abnormality of the central nervous system that occurs when the normal blood supply to the brain is disrupted.
  • 3.
  • 4.
    STROKE a suddenneurological event which results in the new onset of neurological symptoms.
  • 5.
    TYPES ofSTROKE
  • 6.
  • 7.
    ISCHEMIC STROKE “BRAIN ATTACK”
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  • 11.
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  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
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  • 22.
  • 23.
    MOTOR LOSS -disturbanceof voluntary motor control on the side of the body opposite the location of the stroke lesion Hemiplegia Hemiparesis
  • 24.
    COMMUNICATION LOSS DysarthriaApraxia Agnosia Dysphasia or Aphasia
  • 25.
  • 26.
  • 27.
    PERCEPTUAL DISTURBANCES HomonymousHemianopsia Disturbance in Visual-Spatial Relations - Unilateral Neglect Loss of Peripheral Vision Night Blindness Diplopia Horner’s Syndrome
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  • 32.
  • 33.
    SENSORY LOSS SlightImpairment of Touch Loss of Proprioception Difficulty in interpreting visual, tactile, and auditory stimuli
  • 34.
    COGNITIVE IMPAIRMENT &PSYCHOLOGICAL EFFECTS
  • 35.
    ASSESSMENT & DIAGNOSTICSPatient History Complete Physical and Neurologic Examination Initial Assessment: Airway Patency, Cardiovascular Status, Gross Neurologic Losses Stroke Time Course Classification
  • 36.
    STROKE TIME COURSECLASSIFICATION Stage 1: Transient Ischemic Attack Stage 2: Reversible Ischemic Neurologic Deficits Stage 3: Stroke in Evolution Stage 4: Completed Stroke
  • 37.
    DIAGNOSTIC TESTS CTScan 12-Lead ECG Carotid ultrasound Cerebral Angiography Transcranial Doppler Flow Studies Transthoracic or Transesophageal Echocardiography MRI of the brain and/or neck Xenon CT Single Photon Emission CT
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
    MEDICAL MANAGEMENT Treatmentof TIA from atrial fibrillation or suspected embolic or thrombotic causes Thrombolytic Therapy for Ischemic Stroke Therapy for Patients with Ischemic Stroke NOT Receiving Thrombolytic Therapy Managing Potential Complications
  • 47.
  • 48.
    SURGICAL MANAGEMENT CAROTIDENDARTERECTOMY - Main surgical procedure for the management of TIAs and small stroke - Indicated for patients with symptoms of TIA or mild stroke found to be due to carotid stenosis - Complications : stroke, cranial nerve injuries, infection, hematoma at the incision site, carotid artery disruption
  • 49.
  • 50.
  • 51.
  • 52.
    NURSING MANAGEMENT ImprovingMobility and Preventing Joint Deformities Managing Sensory-Perceptual Difficulties Attaining Bowel and Bladder Control Improving Thought Processes Improving Communication Maintaining Skin Integrity Improving Family Coping Helping the Patient Cope with Sexual Dysfunction
  • 53.
  • 54.
  • 55.
    HEMMORHAGIC STROKE CEREBRALANEURYSM SUBARACHNOID HEMORRHAGE
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