Stroke for Progressive Care Certified Nurse (PCCN)
Stroke Definition/Etiology: Definition Stroke/CVA/Brain Attack A loss of blood flow to part of the brain, which damages brain tissue. CVAs are caused by blood clots and broken blood vessels in the brain. 85% are caused by Blood Clots Hemorrhagic Strokes are CCRN material Etiology/Cause Anything that causes Atherosclerosis Smoking, HTN, DM, Hyperlipidemia Undiagnosed Afib […]
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Transient Ischemic Attack (TIA) Definition/Etiology: Prior definition of TIA is outdated (resolution of symptoms in <24 hours). Ischemic CVA = infarction of central nervous tissue TIA = transient episode of neurologic dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction Framingham Heart Study: 45-54 yo, 0.22 per 1000 person-yrs […]
Stroke for Certified Emergency Nursing (CEN)
Stroke Definition/Etiology: I know that you know this, but a stroke occurs when something blocks blood supply to part of the brain or when a blood vessel in the brain bursts. In either case, parts of the brain become damaged or die. Risk factors for stroke include, but are not limited to: Hypertension, hyperlipidemia, […]
Stroke Case Study (45 min)
Mrs. Blossom is a 57-year-old female who presented to the Emergency Room with new onset Atrial Fibrillation with Rapid Ventricular Response (RVR). She is admitted to the cardiac telemetry unit after being converted to normal sinus rhythm with a calcium channel blocker (diltiazem). When you enter the room to assess Mrs. Blossom, her daughter looks […]
Interventions for Aphasia Nursing Mnemonic (PROP)
PROP P-Provide time to respond R-Reorient O-One instruction at a time P-Picture board Description Interventions to aid a patient who has aphasia
Ischemic (CVA) Stroke Labs
Overview Ischemic stroke Labs to consider for disease process Lab purposes Special Considerations Nursing Points General Ischemic stroke Labs to consider for disease process Comprehensive/Basic metabolic panel Capillary Blood Glucose (CBG) Lipids Complete blood count Coagulation studies Lab purposes Comprehensive/Basic metabolic panel Organ function Electrolytes Sodium Low sodium causes cerebral edema Capillary Blood Glucose Bedside […]
Patients with Communication Difficulties
Overview Patients with communication difficulties Communication barriers Input vs. processing vs. output How to improve communication Nursing Points General Communication difficulties Barriers Difficulties are a result of barriers in communication Communication breakdown Input vs processing vs output Communication is a two way street Input vs. processing vs. output Input When the patient can’t “receive” the […]
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Pathophysiology: An ischemic stroke is when there is a loss of blood circulating to an area of the brain. This can occur because blood flow is blocked by a blood clot. Overview Lack of blood flow to brain tissue caused by blood clot in cerebral vessels. Nursing Points General Pathophysiology Blood clot in vessel in […]
Stroke (CVA) Module Intro
Upon completion of this module, you will be able to… Discuss the difference in pathophysiology between a hemorrhagic and ischemic stroke. Discuss priorities for assessment of a patient who has had a stroke Discuss priorities for therapeutic management of a patient who has had a stroke Discuss priorities for nursing care of a patients who […]
Ischemic Stroke MCA
CT scan of a large right MCA infarct – ischemic stroke