STROKE

Precipitating Factors:

Predisposing Factors:

Hypertension
Smoking
Sedentary Lifestyle

Age
Gender

Diet

Ineffective tissue perfusion

Decrease central blood flow

<25ml/100g of blood/min

- Closely assess and monitor neurological status

frequently and compare with baseline
- Position with head slightly elevated and in
neutral position.

Neurons are no longer able to

maintain aerobic respiration

Coversyl 5mg 1 cap

BID
Citicoline 1gm IVTT q
12
Mannitol 150cc IV
bolus q 6h

- Prevent straining at stool, holding breath.

- Administer supplemental oxygen as indicated.
Administer medications as indicated:
-Antihypertensives

Mitochondria switch to
anaerobic respiration

Large amount of lactic acid

Change in pH level

pH level- 6.5

Neurons incapable of producing

sufficient quantities of ATP

Depolarization process

Malfunction of cells

-Maintain a supportive, firm attitude.

Allow patient sufficient time to accomplish
tasks. Dont rush the patient
- Provide self-help devices: extensions
with hooks for picking things up from the
floor, toilet risers, long-handled
brushes, drinking straw, leg bag for
catheter, shower chair. Encourage good
grooming and makeup habits.
-Encourage SO to allow patient to do as
much as possible for self.
-Identify previous bowel habits and
reestablish normal regimen. Increase
bulk in diet, encourage fluid intake,
increased activity.
-Teach the patient to comb hair, dress,
and wash.

Mitochondria by depriving
energy source of the cells

Failure of the membrane to

maintain electrolyte balance

Clopidogrel
75mg 1 tab OD

Ischemia of the brain

tissue/ penumbra region

acidosis

Low imbalances

Na-135.7mmol/L
K-4.32mmol/L

Increase intracellular Ca, Na, K

Change positions at least every 2 hr (supine, side

lying) and possibly more often if placed on
affected side.
-Place hard hand-rolls in the palm with fingers and
thumb opposed.
-Observe affected side for color, edema, or other
signs of compromised circulation.
-Inspect skin regularly, particularly over bony
prominences. Gently massage any reddened
areas and provide aids such as sheepskin pads
as necessary.
-Prop extremities in functional position; use
footboard during the period of flaccid paralysis.
Maintain neutral position of head.

Nursing
intervention
Nursing
Care test
Plan
Diagnostic
Medications
LEGEND
Pathophysiology

depolarization

Increase glutamate
Impaired physical
mobility

Energy failure

Self-care deficit

Cell membrane
destruction
Activates number of damaging

More increase of
pathways
calcium &
glutamate

Vasoconstriction
Surrounding cells and the area of initial damage
CT Scan- Recent infarctive

Generation
ofenough
free
Enlarge
Damaged
the area
area
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attracts
in the active
will have
blood
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WBC- 7.29
Activation
the
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&
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Homeostasis
cells
Extending
iscan
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