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CVA - CVA Stroke
Nursing (290)
Molloy College
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ACTIVE LEARNING TEMPLATES
System Disorder
STUDENT NAME _____________________________________
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
ACTIVE LEARNING TEMPLATE:
ASSESSMENT SAFETY
CONSIDERATIONS
PATIENT-CENTERED CARE
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Health Promotion and
Disease Prevention
Risk Factors Expected Findings
Laboratory Tests Diagnostic Procedures
Complications
Therapeutic Procedures Interprofessional Care
Nursing Care Medications Client Education
Identifying Findings that Require Follow-Up for a Client Who Has Manifestations of a Neurological Event (CVA) illness management
Impaired communication -Risk for aspiration -Impaired mobility
-Screen patient for contraindications for tPA therapy -Assess respiratory status and start necessary actions i. O2, suctioning -Assess neurological status, including ICP if needed. -Monitor CV status including hemodynamic monitoring if needed. -Calculate I&Os noting imbalances
-ct scan -MRI -ECG
-Troponin 1 -Creatine Kinase MB -Coagulation studies (PT, PTT) -Lipid profile
A cerebrovascular accident occurs when there is (1) ischemia (inadequate blood flow) to a part of the brain or (2) hemorrhage (bleeding) into the brain that results in death of brain cells
-Cerebral edema -Headache -Motor deficits (one sided weakness) -Aphasia
-Regular BP screening and adhering to antihypertensives if prescribed -Smoking cessation -Eating a diet rich with fruits and vegetables and low in saturated fat
####### -HTN
-Diabetes -Smoking -Age -Genetics
-Impaired gag reflex -Impaired mobilty -Impaired swallowng and speech -Spatial perceptual problem
-Primary Care Provider -Cardiologist -Physical Therapist -Occupational Therapist -Speech Therapist
Teaching the patient to reduce salt and sodium intake -Teaching to the patient to exercise 40 min, 3-4 days a week -Teaching the patient to follow the prescribed treatment plan
-tPA (if signed off by provider) -Antiplatelets- Anticoagulants -Antihypertensives -Beta Blockers-ACE inhibitors
-Physical Therapy -Occupational Therapy -Drug Therapy
-Increased Intracranial Pressure -Aspiration -Pneumonia -UTI -Seizures -Limb contracture
CVA - CVA Stroke
Course: Nursing (290)
University: Molloy College
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