Complications of a STROKE - ANS ✓- UTI (Very common)
- Malnutrition (dysphagia)
- Musculoskeletal pain (contractures)
- DVT (immobile)
- Seizures (very common w/both types)
- Pressure Ulcers (doubled risk if incontinent)
- Multiple residual effects (sense of loss=movement, independence, activities,
role confusion, depression/anxiety)
Stroke modifiable risk factors - ANS ✓Cholesterol
Obesity
High BP/Hypertension
Stress
Alcoholism
Sedentary Lifestyle
diabetes
Stroke: Non-modifiable risk factors - ANS ✓age
gender
ethnicity
face
family hx
heredity
NUR195
, 2
NUR
previous tia
Intervention for stroke: - ANS ✓Control hypertension
Maintain proper body alignment in bed
Position client to minimize edema prevent contractures and maintain skin
integrity
Perform ROM 4x/day
Monitor bladder elimination
Speech therapy/OT/PT consultation
Treatment for Hemorrhagic stroke - ANS ✓SURGERY: aneurysm clipping
Carotid endarterectomy
hemicraniectomy
MANNITOL (OSMOTIC DIURETIC)
tx for ischemic stroke - ANS ✓IMMEDIATE TPA (Tissue plasminogen activator)
Clot buster
after that: Heparin (Anticoagulant) *SUBQ/IV
ASA (antiplatelet, antipyretic NSAID) PO
Post op complications - ANS ✓DVT
Hemorrhage
infection
Fever
Nausea vomiting
NUR195
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