Medical Surgical Nursing

Ischemic Stroke Disruption of the blood supply due to an obstruction, usually a thrombus or embolism, that causes infarction o ...

— Perceptual disturbances — loss of half of the visual field, Loss of peripheral vision, diplopia. Cognitive Deficits (Short- an ...

Transient Ischemic Attack (TIA) Temporary neurologic deficit resulting from a temporary impairment of blood flow ―Warning of an ...

IV dosage and administration Patient monitoring Side effects—potential bleeding Elevate head of bed (HOB) unless contraindicate ...

Nursing Process: The Patient Recovering from an Ischemic Stroke Assessment Acute phase Ongoing/frequent monitoring of all syste ...

Improved mobility Avoidance of shoulder pain Achievement of self-care Relief of sensory and perceptual deprivation Prevention o ...

Positioning to Prevent Shoulder Abduction Prone Positioning to Help Prevent Hip Flexion Improving Mobility and Preventing Joint ...

Encourage personal hygiene Assure that patient does not neglect the affected side Use of assistive devices and modification of ...

Disturbed sensory perception Anxiety Collaborative Problems/Potential Complications Vasospasm Seizures Hydrocephalus Rebleedi ...

Patient and family teaching Support and reassurance Seizure precautions Strategies to regain and promote self-care and rehabili ...

Nursing Process The Patient Recovering From an Ischemic Stroke The acute phase of an ischemic stroke may last 1 to 3 days, but o ...

 Disturbed sensory perception related to altered sensory reception, transmission, and/or integration  Impaired swallowing  To ...

Correct positioning is important to prevent contractures; measures are used to relieve pressure, assist in maintaining good body ...

If possible, the patient is placed in a prone position for 15 to 30 minutes several times a day. A small pillow or a support is ...

Quadriceps muscle setting and gluteal setting exercises are started early to improve the muscle strength needed for walking; the ...

affected arm or shoulder. If the arm is paralyzed, subluxation (incomplete dislocation) at the shoulder can occur as a result of ...

Chapter 63 Management of Patients with Neurologic Trauma Head Injury A broad classification that includes injury to the scalp, ...

Manifestations Manifestations depend upon the severity and location of the injury Scalp wounds Tend to bleed heavily, and are a ...

Changes in vital signs Headache Seizures Brain Injury Closed brain injury (blunt trauma): acceleration/deceleration injury oc ...

Patient should be aroused and assessed frequently Location of Subdural, Intracerebral and Epidural Hemorrhages Epidural Hemato ...