NSG 3105 Lecture Notes - Lecture 10: Stroke, Pharyngeal Reflex, Aspirin
10 Dec 2017
School
Department
Course
Professor
Document Summary
Stroke: sx headache esp. hemorrhagic stroke with increased pressure, common risk factors and focus on prevention (1st step), well controlled comorbidities, htn #1 risk factor. Ischemic thrombotic (blocks) and embolic (bursts: hemorrhagic, 5 min time frame for cell death important when looking for treatment of ischemic stroke, manifestations, motor function, gag reflex, self-care, mobility, etc. Stroke team or stroke code: collaborative care, starts with abcs, ongoing, aspirin not 24hrs but after 48hrs. Yes, could have come into hospital earlier, made sure his comorbidities are controlled, decreased risk factors (ex. Exercise, decreased smoking: priority interventions ct, prevention of complications (ex. Prevention of pressure ulcers), regular assessments, communication, coping: teaching strategies/rehab for communication, discussing risk factors and lifestyle changes, what to expect and key things for him to recover, discharge medications. ***to test gag reflex, you have to sit them upright to do so first: occlusion of l posterior cerebral artery.
