Thursday, May 7, 2020
Multiple Forms Of Stroke Ischemic Strokes, Hemorrhagic...
A stroke happens when the blood supply to the brain is either interrupted, blocked or a blood vessel in the brain ruptures. These blockages are often caused by blood clots, which can form in the arteries connecting to the brain. When this happens, there is an insufficient amount of oxygen and nutrients going to the brain, and this causes the brain cells to die. It also is the fourth leading cause of death in the United States (U.S) today. There are three forms of stroke: ischemic strokes, hemorrhagic strokes, and transient ischemic attacks. These are also called mini-strokes. In doing a nursing assessment, the first step is to assess. In this situation, the nurse should ask the patient, Mr. L if he is experiencing any pain, making sure toâ⬠¦show more contentâ⬠¦As well as fast acting drugs to prevent further complications from a stroke or heart attack like nitroglycerin. Blood pressure medications would be a diuretic, an angiotensin converting enzyme inhibitor, angiotensin II receptor blockers, calcium channel blocker, alpha-adrenergic blocker, a central acting alpha two agonists or a beta-adrenergic blocker. Emergency drugs should be taken when a stroke or heart attack occurs. Organic nitrates that prevent or reduce coronary artery spasm, which increases oxygen supply immediately would be used in an emergency case. You should also be aware of whether the patient is allergic to any of these medications. After giving the patient a nursing diagnosis, the next step would be to make a plan of care for them. In planning, the nurse will set three short term goals for the patient to complete towards their healing process. In this case, three short term goals would be; first the patient will demonstrate understanding of underlying disease process and identify own risk factors that require modification within two days of nursing interventions. The nurse is aware that an intervention would be to encourage verbalization of patient and family concerns as well as their learning needs. After six hours of nursing interventions, the client will have no elevation of blood pressure above normal limits and will maintain blood pressure within acceptable limits. Monitor BP every 1-2 hours or every five minutes during active titration of
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