Vernon Russel Care Plan_NicoleDiana

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Right sided stroke with mild left hemiplegia. Oxygen supply to the brain is interrupted or dimished. Ishemic Stroke- thrombus or embolus partially or completely occludes cerebral blood flow to an area od the brain; cellular Hypoxia results, membrane permeability, cell depolarization are affected. Changes in membrane permeability lead to an influx Of sodium, calcium and water, causing edema. Neurons die from lack of oxygen. As blood flow decreases, focal areas of Ischemia occur, followed by infarction to the vascular territory. Hemorrhagic Stroke- blood leaks from the vessels or hemorrhage into the brain tissue, causing edema, compression of the Brain tissue, and spasm of adjacent blood vessels. Intracranial hemorrhage becomes a space occupying lesion that compromises Brain function. Impaired cerebral perfusio causes infarction (Lippincott) -Blood Glucose- to check glucose levels. Vernon Russell DOB:1/14/65 -Muscle weakness left side -CBC with differential- complete blood count 55, Native American - possible dysphagia aspiration INR/PT- How long it takes blood to clot Stroke right side with left hemiplegia -possible high glucose levels BMP- fluid balance (lippincot) Diabetic, Coronoary Artery Disease Hypertension, Smokes