![Signs/Symptoms Which of the following is not a symptom of CVA? [k] 1. Headache 2. Lethargy 3. Lumbarpain 4. Blurredvision](https://image.slidesharecdn.com/pathogroup2-120227090149-phpapp02/85/Pathogroup2-3-320.jpg)
![Your co-worker states, “I always heard that PAF is a precursor to stroke.” Is this statement true or false? [k] True. There is overwhelming evidence to link PAF to increased stroke risk. Studies have shown that patients with PAF should be on chronic anticoagulation.](https://image.slidesharecdn.com/pathogroup2-120227090149-phpapp02/85/Pathogroup2-4-320.jpg)
Pathogroup2
- 1. Cerebrovascular Accident (Stroke) Katie Crawford Beverly Grimme Clare Gruneisen Jamie Thomas Dixie Williams
- 2. Prevalence
- 3. Signs/Symptoms Which of the following is not a symptom of CVA? [k] 1. Headache 2. Lethargy 3. Lumbarpain 4. Blurredvision
- 4. Your co-worker states, “I always heard that PAF is a precursor to stroke.” Is this statement true or false? [k] True. There is overwhelming evidence to link PAF to increased stroke risk. Studies have shown that patients with PAF should be on chronic anticoagulation.
- 5. What other information would be necessary for evaluating the cause for the CVA? N.T. had a history of PAF; an ECG would be necessary to evaluate rhythm status. An echo- cardiogram would be helpful for evaluating the possibility of thrombi in the atria or ventricle. A carotid US is used to identify any atherosclerotic plaques.
- 6. Why was the initial CT scan negative for stroke? Cell death does not occur immediately following a CVA. It may take up to 12 hours for cell death to be detected by CT. MRI may be a better option, along with a complete history and physical.
- 7. What lab test may be abnormal during CVA? The isoenzyme CK-BB is measured to detect brain tissue injury.
- 8. Nursing Dx Impaired Swallowing
- 9. Ineffective Health Mainenance RT deficient knowledge regarding self-care after CVA
- 10. Suggested NOC outcomes: Health beliefs: perceived resources, health-promoting behavior, health-seeking behavior
- 11. Suggested NIC interventions: Health education, health system guidance, support system enhancement
- 12. (Refer to OT, RD, give community resources)
- 13. Impaired Physical Mobility RT loss of balance and coordination
- 14. Suggested NOC outcomes:Ambulation, Ambulation: Wheelchair, Mobility, Self-Care: Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), Transfer Performance
- 15. Suggested NIC interventions:Exercise Therapy: Ambulation, Joint Mobility, Positioning
- 16. Chronic Confusion RT cerebral vascular attack
- 17. Suggested NOC outcome: Cognition, Cognitive Orientation, Distorted Thought Self-Control
- 18. Suggested NIC interventions: Cognition as evidenced by the following indicators: Cognitive orientation/Communicates clearly/Comprehends the meaning of situations/Attentiveness/Concentration (Rate the outcome and indicators of Cognition: 1 severely compromised, 2 substantially compromised, 3 moderately compromised, 4 mildly compromised, 5 not compromised see Section I.)
- 19. Interventions
- 20. Outcomes