Nursing Care Plan – Cerebrovascular Accident (CVA)
June 6, 2008 · 51 Comments
by: Donnabell V. Incognito, RN
Cerebrovascular accident is the term that refers to any functional abnormality of the Central Nervous System that occurs when the normal blood supply to the brain is disrupted, as by a blood clot or a ruptured blood vessel, and vital brain tissue dies. Cerebrovascular accident is commonly called Strokes.
Cerebrovascular accident may be caused by any of three mechanisms.
- Cerebral Thrombosis – blockage in the thrombus (clot) that has built up on the wall of the brain artery.
- Cerebral Embolism – blockage by an embolus (usually a clot) swept into the artery in the brain.
- Hemorrhage – Rupture of a blood vessel and bleeding within or over the surface of the brain.
Thrombosis and embolism both lead to cessation of blood supply to part of the brain thus to infarction (tissue death). Rupture of a blood vessel in or near the brain may cause an intracerebral hemorrhage or subarachnoid hemorrhage.
The symptoms of a stroke usually develop over minutes or hours occasionally over several days. Depending on the site, cause and extent of damage, any or all of the symptoms at right may be present, in any degree of severity. The more serious cases lead to rapid loss of consciousness, coma, and death or to severe physical or mental handicap.
Hemiplegia – weakness or paralysis on one side of the body is one of the more common effects of a serious stroke.
The following are the symptoms of Cerebrovascular accident:
- Headache
- Dizziness and confusion
- Visual disturbance
- Slurred speech or loss of speech
- Difficulty of swallowing
Risk factors:
- Age
- High blood pressure – weakens the walls of arteries
- Atherosclerosis – narrowed artery channels
- Heart disease – cause blot clot in the heart that may break off and migrate to the brain.
- Diabetes mellitus – accelerated degeneration of small blood vessel
- Smoking – increase the risk ofhypertension
- Polycythemia – a raised level of red cells in the blood.
- Hyperlipidemia – high level of fatty substances in the blood
NursingCrib.com – Nursing Care Plan Cerebrovascular Accident CVA
do u have any case study of cardioembolic stroke? or just pathophysiology.. I just want to study it pls send it to my email add [email protected] thanks
Can i ask from you guys. Can a man experience a memory loss after he experience stroke? Cerebrovascular accident?? Email me here. [email protected]
wag na kayo mag nurse kung reklamo lng kayo ng reklamo.. hahaha :DD
hirap dami sak8 sa ulo'
hi!
What is the best research-based technique to use for pain assessment among COMATOSE patients? Is it sternal rub, pricking of sharp object, or pressing of thumb? I'm just curious.
tama pa din ung subjective nya.. nde lahat nmn ng CVA patient is nde nakakapagsalita.. meron slurred speech.. ang tanong ko lang.. topic pa dito is ung priority problem??? based kc sa assesement.. RR 30 supposed to be airway ang priority d ba??? hhhmmm… nagttanong lang po.. thanks…
RR is not subjective…measurable data therefore objective
cardiovascular accident & cerebrovascular accident the same lng b??
tnx
anong ibg mong savhing the same..
cardiovascular s heart, cerebrovascular s brain..
definitely no.. kya nga cardio because it pertains to the heart, and cerebro means to the brain. hehe
i think u for got the meaning of subjective data…
DEPENDE YAN SA ASSESSMENT nyo. . posible pa naman makapagsalita un patient na may CVA eh. . kaya nga may assessment eh diba? maliban na lang kung di kayo nag assess talgang gagawa ka ng istorya nyu para sa subjective data!
So kailangan may exclamation mark???
hehe. kelangan may exclamation to give emphasis? me ganun? peace guys.