cva or stroke hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh

CVA or stroke

1. SIGN AND SYMPTOMS Common signs and symptoms of stroke include: Numbness or weakness of the face Change in mental status Trouble speaking or understanding speech Visual disturbances Homonymous hemianopia - loss of half of the visual field Loss of peripheral vision

2. SIGN AND SYMPTOMS Hemiparesis or hemiplegia - Weakness or paralysis of the face, arm, and leg on the same side  Ataxia - unsteady gait and inability to keep feet together Dysarthria - difficulty in forming words Dysphagia - difficulty in swallowing Paresthesia - numbness and tingling of extremities  Expressive aphasia - unable to form understandable words  Receptive aphasia - unable to comprehend the spoken word

3. DIAGNOSTIC EVALUATION HISTORY COLLECTION PHYSICAL EXAMINATION CT SCAN MRI PET SCAN BLOOD TEST

4. Medical management Diuretic for Incr. ICP Anti-hypertensive Anti-seizures Anti-coagulant Vasodilators

5. NURSING DIAGNOSIS Ineffective breathing pattern r/t hemorrhagic stroke as evidenced by labored breathing pattern, hypoxia and cyanosis Inadequate cerebral perfusion R/T cerebral edema secondary to increased ICP as evidenced by confusion, ataxia and drowsiness or altered LOC

6. NURSING DIAGNOSIS Impairment in physical mobility Altered sensory perception

7. NURSING DIAGNOSIS Inability to perform daily living activities Impaired swallowing Ineffective coping