A Stroke, or Cardiovascular Accident

A neurological tryout will include tests to assess brain function, e.g. orientation, memory, motor skills, and so forth Laboratory tests and urine samples will be checked to reign over out infections, low production line sugars, and other symptoms which can pantomime stroke.

Imaging and roue flow studies will be performed, much(prenominal) as computed tomography (CT), computed tomography angiography (CTA), magnetized resonance angiography (MRA), magnetic resonance imaging (magnetic resonance imaging), and Doppler ultrasound, which can confirm a diagnosing of CVA in minutes (Kister, 1999). CT scans can now rule out hemorrhage as the cause of CVAs. This is vital, because passel with hemorrhages could die if given drugs to combat constipates. MRI can inscription the location and extent of a cerebral infarction productive inside the brain within minutes: both MRI and MRA can produce highly detailed images of CVAs, tumors, or blood clots between the brain and skull. Doppler ultrasound allows visualization of the blood vessels in the neck to look at the speed and character of blood flow in the carotids and the intracranial arteries.

Once the imaging studies progress to been carried out, doctors know whether they are dealing with an ischemic or a hemorrhagic CVA, and can treat with the appropriate drugs (Kistler, 1999). If the CVA is payable to a blood clot, then thr

After the acute phase of a CVA, anticoagulant therapy is oft give to patients who had a CVA because of a blood clot (Kistler, 1999). Drugs used in post-CVA therapy include the anticoagulants, heparin and warfarin (Coumadin); and drugs to proceed platelet aggregation such as aspirin, clopidogrel (Plavix) and ticlopidine (Ticlid). Coumadin is level-headed for patients with cardiac abnormalities and for patients with embolic CVA, and for patients with atherothrombotic narrowing of the arteries at the base of the brain, to baffle further CVAs.

Patients treated with Coumadin need to surrender their prothrombin time monitored regularly.

Stroke (Cerebrovascular Accident). (2001). Clinical Reference Systems, Annual: 1862.

about of the care of CVA patients is in the hands of nurses (Kirkevold, 1997, 55). Nurses traditionally live been the maintenance providers for CVA patients, meeting their personal inevitably, coordinating cure and diagnostic measures, and communicating relevant information to physicians. The nurse needs also to become part of the rehabilitation team for the patient, instruct them how to overcome some of the difficulties of managing such tasks as personal hygiene and grooming, e.g. in the case of hemiplegia. The nurse also needs to mold a consoling role by establishing a bank relationship with the patient. The nurse needs to help patients integrate impertinently learned activities into their normal daily living. Nurses need to help patients and their relatives stick out for the future and cope with any limitations they will now have because of the results of the CVA. The role of the nur
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