Cerebral Aneurysm, Subarachnoid Hemorrhage, brain attack, cerebrovascular accident in powerpoint presentation.

1. A Nursing Approach in the
Management of
CEREBROVASCUL
AR DISORDERS
BY: DAVE JAY S.
MANRIQUEZ BSN,RN.

2. CEREBROVASCULAR
DISORDERS
An umbrella term that refers
to any functional abnormality
of the central nervous system
that occurs when the normal
blood supply to the brain is
disrupted.

4. STROKE
a sudden neurological
event which results in
the new onset of
neurological
symptoms.

5. TYPES
of
STROKE

7. ISCHEMIC
STROKE
“BRAIN ATTACK”

23. MOTOR LOSS
-disturbance of voluntary
motor control on the side of
the body opposite the location
of the stroke lesion
•Hemiplegia
•Hemiparesis

24. COMMUNICATION LOSS
•Dysarthria
•Apraxia
•Agnosia
•Dysphasia or Aphasia

27. PERCEPTUAL DISTURBANCES
•Homonymous Hemianopsia
•Disturbance in Visual-Spatial Relations
- Unilateral Neglect
•Loss of Peripheral Vision
•Night Blindness
•Diplopia
•Horner’s Syndrome

33. SENSORY LOSS
•Slight Impairment of Touch
•Loss of Proprioception
•Difficulty in interpreting visual,
tactile, and auditory stimuli

34. COGNITIVE IMPAIRMENT &
PSYCHOLOGICAL EFFECTS

35. ASSESSMENT & DIAGNOSTICS
•Patient History
•Complete Physical and Neurologic Examination
•Initial Assessment: Airway Patency,
Cardiovascular Status, Gross Neurologic Losses
•Stroke Time Course Classification

36. STROKE TIME COURSE
CLASSIFICATION
Stage 1: Transient Ischemic Attack
Stage 2: Reversible Ischemic Neurologic Deficits
Stage 3: Stroke in Evolution
Stage 4: Completed Stroke

37. DIAGNOSTIC TESTS
•CT Scan
•12-Lead ECG
•Carotid ultrasound
•Cerebral Angiography
•Transcranial Doppler Flow Studies
•Transthoracic or Transesophageal Echocardiography
•MRI of the brain and/or neck
•Xenon CT
•Single Photon Emission CT

46. MEDICAL MANAGEMENT
• Treatment of TIA from atrial fibrillation or
suspected embolic or thrombotic causes
• Thrombolytic Therapy for Ischemic Stroke
• Therapy for Patients with Ischemic Stroke
NOT Receiving Thrombolytic Therapy
• Managing Potential Complications

48. SURGICAL MANAGEMENT
CAROTID ENDARTERECTOMY
- Main surgical procedure for the management of
TIAs and small stroke
- Indicated for patients with symptoms of TIA or
mild stroke found to be due to carotid stenosis
- Complications: stroke, cranial nerve injuries,
infection, hematoma at the incision site, carotid
artery disruption

52. NURSING MANAGEMENT
•Improving Mobility and Preventing Joint Deformities
•Managing Sensory-Perceptual Difficulties
•Attaining Bowel and Bladder Control
•Improving Thought Processes
•Improving Communication
•Maintaining Skin Integrity
•Improving Family Coping
•Helping the Patient Cope with Sexual Dysfunction

55. HEMMORHAGIC
STROKE
CEREBRAL ANEURYSM
SUBARACHNOID HEMORRHAGE