21586273
Stroke
- Complications
- Pathology
- Treatment
- Diagnostic Studies
- Other: CSF analysis,
Coagulation studies,
CBC, Electrolytes,
blood glucose, Hb A1C,
Lipid profile, renal and
hepatic studies
- Diagnosis
of Stroke:
CT scan, CT
angiography,
MRA, MRI
- Cardiac Assessment:
Cardiac markers [Troponin,
Creatine-kinase-MB, Chest
radiograph,
Echocardiography,
Electrocardiogram]
- Cerebral Blood Flow:
carotid angiography,
carotid duplex scanning,
cerebral angiography,
digital subtraction
angiography, transcranial
Doppler ultrasonography
- Other: CSF analysis,
Coagulation studies,
CBC, Electrolytes,
blood glucose, Hb A1C,
Lipid profile, renal and
hepatic studies
- Nursing Management
- Nursing Diagnoses
- risk for aspiration, impaired
physical mobility, impaired
verbal communication, unilateral
neglect, impaired swallowing,
impaired urinary eliminatio,
situational low self-esteem,
decreased intracranial adaptive
capacity
- risk for aspiration, impaired
physical mobility, impaired
verbal communication, unilateral
neglect, impaired swallowing,
impaired urinary eliminatio,
situational low self-esteem,
decreased intracranial adaptive
capacity
- Nursing Assessment
- Primary
Assesment:
- Subjective
Data: Past
health
history,
medications,
symptoms
- Objective Data:
General,
respiratory,
cardiovascular,
Gastro-intestinal,
Urinary,
Neruological,
Diagnostic
Test
- Subjective
Data: Past
health
history,
medications,
symptoms
- Secondary
Assessment
- Comprehensive
Neurological Exam -
Level of
consciousness
-cognition -motor
abilities -cranial
nerve function
-sensation
-proprioception
-cerebellar function
-deep tendon
reflexes
- Comprehensive
Neurological Exam -
Level of
consciousness
-cognition -motor
abilities -cranial
nerve function
-sensation
-proprioception
-cerebellar function
-deep tendon
reflexes
- Primary
Assesment:
- Planning
- Patient, Nurse &
Family Establish Goals:
- Maintain stable/improved LOC,
attain maximum physical
functioning, attain maximum
self-care abilities and skills,
maintain stable body functions,
maximize communication
abilities, maintain adequate
nutrition, avoid complications of
stroke, maintain effective
personal and family coping
skills
- Maintain stable/improved LOC,
attain maximum physical
functioning, attain maximum
self-care abilities and skills,
maintain stable body functions,
maximize communication
abilities, maintain adequate
nutrition, avoid complications of
stroke, maintain effective
personal and family coping
skills
- Patient, Nurse &
Family Establish Goals:
- Implementation
- Health Promotion & Acute Intervention & Ambulatory & Home Care
- Health Promotion & Acute Intervention & Ambulatory & Home Care
- Nursing Diagnoses
- Clinical Manifestations
- Motor Function
- Communication:
aphasia &
dysarthria
- Mood and Affect
exaggerated or
unpredictable
emotional responses,
frustration and/or
depression
- Spatial and Perceptual:
- Elimination
Urination & BM:
Frequency,
urgency,
incontinence &
constipation
- Motor Function
Anexos de mídia
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