Transcription of Stroke ‘’CVA’’ II
1 Priority action: Assess the patient s painStroke CVA IINCLEX QuestionTeaching for families of patients with right-sided brain injuries?Answer: lack of impulse control and behavioral changes. ATI QuestionManifestations of right -sided hemispheric & spatial deficitsVisual & spatial deficitsLeft homonymous hemianopsiaOne-sided neglect CT scan immediately!!!Thrombolytics - within hours of onset of symptomstPA -as Alteplase, StreptokinaseStrokes cause by Clot- Give clot bustersAlteplaseStreptokinasetPAStrokes - Hemorrhagic (no clot busters)Implement seizure precautions- strict bed restNo Blood ThinnersAdminister PRN stool softeners dailyto prevent straining & bearing downduring bowel movements Limit any activity that may increase ICP:NO Aspirin & Clopidogrel NO Heparin & Enoxaparin NO Warfarin NO Thrombolytics ASPIRINLeft BrainLanguage & Logic LRRight BrainReckless & Really Creative DiagnosticsTreatment: Pharmacology2 Tricky NCLEX Questions:Question 1: Interventions for initial plan of care for a patient with suspected embolic Stroke ?
2 Select All that Apply Obtain a S TAT C T of the headPerform neuro assessment Prepare to initiate alteplase within hours of symptoms onsetQuestion 2: Priority nursing action for a patient with left-sided weakness, lack of verbal response, and drooping face? Maintain patent airwayStats CT scan Neuro assessment Give tPA
