NURS 4000 neurological integrity
intracranial pressure
increased pressure within the cranium
Signs of intracranial pressure
•Decreased level of consciousness
•Pupillary dilation
•Headache
•Vomiting
•Papilledema
•Increased BP
Cushing's triad
Cushing's triad
•Hypertension
•Widened pulse pressure
•Bradycardia
•Abnormal respiratory pattern
•If they are showing all 3 signs that is an emergency
Two types of stroke
ischemic and hemorrhagic
TIA
mini stroke
risl factors for stroke
•Hypertension (HTN)
•Hyperlipidemia
•Diabetes
•Smoking
•Obesity
•Lack of exercise
, •Atrial fibrillation
•Oral contraceptives
•Excess alcohol
•Family history
•Age 55+
•Gender
•Male risk is greater than female
•Ethnicity
•African American risk is greater than Caucasian
•Sickle cell disease
•Transient ischemic attack (TIA)
signs of a stroke
•Neurological deficits on one side of body
•Slurred speech, loss of gag reflex, facial droop
•Hemiparesis, hemiparalysis, loss of sensation
•Vision loss
•Some patients have disorientation, confusion
ischemic stroke causes
•Causes
•Cerebral arteriosclerosis
•Carotid stenosis
•Atrial fibrillation
•Stasis of blood leads to clot formation
ischemic stroke treatment
•Aspirin or another antiplatelet drug
•Surgical thrombectomy for eligible candidates
•Rehabilitation
BEFAST
B - BALANCE LOST
E- VISION LOST
F- FACE DROPPING
A - NUMBNESS IN ARMS
intracranial pressure
increased pressure within the cranium
Signs of intracranial pressure
•Decreased level of consciousness
•Pupillary dilation
•Headache
•Vomiting
•Papilledema
•Increased BP
Cushing's triad
Cushing's triad
•Hypertension
•Widened pulse pressure
•Bradycardia
•Abnormal respiratory pattern
•If they are showing all 3 signs that is an emergency
Two types of stroke
ischemic and hemorrhagic
TIA
mini stroke
risl factors for stroke
•Hypertension (HTN)
•Hyperlipidemia
•Diabetes
•Smoking
•Obesity
•Lack of exercise
, •Atrial fibrillation
•Oral contraceptives
•Excess alcohol
•Family history
•Age 55+
•Gender
•Male risk is greater than female
•Ethnicity
•African American risk is greater than Caucasian
•Sickle cell disease
•Transient ischemic attack (TIA)
signs of a stroke
•Neurological deficits on one side of body
•Slurred speech, loss of gag reflex, facial droop
•Hemiparesis, hemiparalysis, loss of sensation
•Vision loss
•Some patients have disorientation, confusion
ischemic stroke causes
•Causes
•Cerebral arteriosclerosis
•Carotid stenosis
•Atrial fibrillation
•Stasis of blood leads to clot formation
ischemic stroke treatment
•Aspirin or another antiplatelet drug
•Surgical thrombectomy for eligible candidates
•Rehabilitation
BEFAST
B - BALANCE LOST
E- VISION LOST
F- FACE DROPPING
A - NUMBNESS IN ARMS
