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EMBOLIC STROKE

Definition:

Stroke refers to the

blockage of arterial access

to a part of the brain by anembolus

A type of ischemic

stroke that occurs when ablood clot or a cholesterol

plaque wanders into thebrain and becomes trapped

inside an artery

Causes:

Septic Emboli

Atmospheric air Embolic myxoma

Deep venous thromboses

Cerebral embolism

Risk factor:

Modifiable high blood pressure

high cholesterol

smoking diabetes

obesity

drug abuse

heavy alcoholconsumption

Non-modifiable age

gender race

Hispanics

Signs and symptoms:

paralysis and numbness cognitive impairment

vision impairment language impairment

motor impairment

headacheDiagnostic Tests:

CT Scan MRI

Angiogram

Carotid Duplex Transcranial Dopler

Echocardiogram

Management:

Medical

Generic Name: Alteplase

(AL-teh-PLACE)Brand Name: Cathflo

Activase

clot-buster drug to

dissolve the blood clot thatis causing the stroke

bleeding (e.g.,easy bruising, bleedinggums, pink/bloody urine,

black/bloody stools, vomit

that looks like coffeegrounds, dizziness,

lightheadedness),symptoms of a blood clot

(e.g., swelling/pain in armor near catheter).

Generic Name: Heparin

Lock Flush-injBrand Name: Hep-Lock

Heparin lockflush is used to clear (flush)

IV lines or catheters to keep

them open and flowingfreely.

fever, chills,itching or irritation at theline site, unusual bruising

or bleeding

Rehabilitation

The rehabilitation processcan include some or all ofthe following:

speech therapy torelearn talking and

swallowing;

occupationaltherapy to regain dexterity

in the arms and hands;

physical therapy

to improve strength andwalking; and

family education

to orient them in caring fortheir loved one at home and

the challenges they will

face.

Surgical:

Angioplasty

is the techniqueof mechanically widening a

narrowed or obstructed

blood vessel Carotid endarterectomy

removes the

inner lining of your carotid

http://www.medicinenet.com/script/main/art.asp?articlekey=47882http://www.medicinenet.com/script/main/art.asp?articlekey=47882http://en.wikipedia.org/wiki/Blood_vesselhttp://www.medicinenet.com/script/main/art.asp?articlekey=47882http://www.medicinenet.com/script/main/art.asp?articlekey=47882http://en.wikipedia.org/wiki/Blood_vessel

8/8/2019 Embolic Stroke

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artery if it has become

thickened or damaged. Extracranial- intracranial

bypass is an operative

procedure in which the

superficial temporal arteryis anastomosed to the

middle cerebral artery.

is a surgicalprocedure to increase

cerebral blood flow.

Nursing Diagnosis:Dx: Impaired verbalcommunication r/t loss of

facial or oral muscle tonecontrol

Plan: Will establish method

of communication in whichneeds can be expressed

Intervention: Provide

alternative methods ofcommunication, like

pictures & visual cues,

gestures & demonstration Anticipate &

provide for patients needs Encourage family

members to persists effort

to communicate with the

patient

Impaired tissue perfusion Impaired airway

clearance Impaired physical

mobility

Impaired swallowing

Research:

In contrast to these

commonly reported results,this retrospective study

demonstrated a 12.7%

incidence of poststrokeseizure and a 4.3%

incidence of poststrokeepilepsy in patients with

clearly defined embolic

stroke.According to Dr. Palade,

while the results of thisretrospective study were

somewhat surprising, Weset out to demonstrate that

careful identification of the

source of the emboluswould allow a more

accurate estimate of the

frequency of poststroke

seizures and epilepsy thanpreviously reported. Our

goal was to increaseawareness of the efficacy ofthis approach.

References:

http://strke.about.com/od/gl

ossary/g/DVT.html

http://meducal-dictionary.com/embolicstro

ke

http://www.ehow.com/how

prevent-embolic-strole.html

http://uwmedicine.washington.edupatient-care/our-

services/medical-

services/stroke-cener

http://medicinet.com

http://mayoclinic.com

http://www.neurologyrevie

ws.com_stroke.html

Submitted by:

Resti MarianoBSN III-2

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