Purpose: To evaluate the use and efficacy of Stroke Thrombolysis as a treatment in a blocked artery that has caused ischemic stroke. Description of Pathology: Ischemic strokes account for 87% of all stroke incidents, making this type of stroke the most common. Ischemic strokes occur as a result of a blood clot plugging or obstructing an artery carrying blood to the brain. This keeps oxygen and nutrient rich blood from flowing into the brain.…
INTRODUCTION My article of choice has the title of “Unlocking Paralysis” by Lisa Fitterman. Lisa Fitterman is a Toronto-based writer who is also known to be a reporter, editor, columnist and a freelance writer for a wide range of both national and international magazines. She has authored a variety of stories, ranging from profiles of women in the Russian opposition to immigration and racism in certain countries. In this article however, she talks about how a new invention, Endovascular Thrombectomy has changed the lives of people who had suffered from stroke and how it will save future stroke-sufferers from living a life of dependence on others and avoiding permanent paralysis.…
Manifestation for stroke is displayed in varying ways, but many times the patient will present with sudden onset of symptoms, weakness, numbness, visual changes, dysarthria, dysphagia or aphasia. The imaging studies, in the form of a CT scan or MRI, allow the doctors to make a well-informed decision to offer thrombolytic therapy for the patient. An initial assessment is important in determining the area of anatomical location of the lesion. Many times if the right side of the brain is affected they will manifest as left sided bodily deficits or weakness. While conducting the assessment, the nurse or doctor must take a complete history to find out the onset and progression of the symptoms.…
Interventional radiology is considered a specialized modality of radiology that deals mostly with invasive image-guided procedures. With advances in technology, interventional procedures can be performed on several areas of the body with success in conjunction with using live x-rays during exams. Cerebral aneurysms often can be in susceptible areas of the brain, and usually, are considered somewhat high risk in nature. The use of endovascular coiling can prove to not only be successful, but beneficial in treatment to patients. This procedure is not all without risk; however, the benefits far exceed the cons when dealing with a potentially fatal condition.…
Cerebrovascular accident (CVA) is also known as stroke for short. A stroke is a disease that does not allow the arteries to carry oxygen to the brain. They are the fifth top causes of casualty in America. Knowing the signs and symptoms of a stroke and seeking medical attention may decrease the risk of death. There are a few diverse types of strokes, Transient ischemic attack, hemorrhagic stroke, and ischemic strokes.…
Stroke, cerebrovascular accident (CVA), occurs when the blood supply to the brain is obstructed by a clot or hemorrhage of a blood vessel in the brain (Wang, Kapellusch, & Garg, 2014). The lack of oxygen to the brain will result in necrosis of brain cells/tissues within the first couple of minutes. There are 3 three classifications for stroke: (1a) ischemic stroke, the artery that supplies oxygen-rich blood to the brain is blocked; , (2b) hemorrhagic stroke, an artery in the brain leaks blood or ruptures; , and (3c) transient ischemic attack, which are mini strokes leaving the brain without oxygen for no more than 5 five minutes and is a warning sign for future stroke (Center for Disease Control and Prevention, 2015).…
Evidence indicates that a clinical cardiovascular examination and a 12-lead echocardiogram (ECG) should be used in all patients suspected of having a stroke as cardiac arrhythmias and atrial fibrillation can occur concurrently among patients who have had a stroke (Jauch et al., 2013). This is relevant to Mr. C as he has T2DM and HT, in which both conditions can affect the cardiovascular system and should have been assessed. Educating and training nurses on specific is ischemic strokes management plans, along with co-morbidities may improve the care that is given…
The blood carries nutrients and oxygen is pumped from the heart to the brain through the arteries. The faulty blood flow results in brain cells damage or death. Around 85% of strokes are ischaemic stroke as an effect of blood clot. However, the rest of 15% of strokes are haemorrhagic that could be either Intracerebral haemorrhage (ICH) a bleed within the brain or Subarachnoid haemorrhage (SAH) a bleeding on the brain caused by a ruptured blood…
Participation in physical activity can decrease the risk of recurrent stroke among stroke survivors. Stroke survivors have cited various reasons for not engaging in physical activity. Physical issues that prevent movement have been cited often among this target population. In addition, motivation is cited as a reason not to participate. Some survivors that experience physical issues still find ways to engage.…
This artifact of professional practice demonstrates the ability to effectively communicate a patient safely concern and introduce a solution in a clear and concise manner. This executive summary reviews the core measures for stroke and introduces the concept of a Stroke Alert Team. The summary details the incidence of stroke, the current core measure performance for the organization, and a plan for improving the measure and patient outcomes.…
It was written by Isabel Beresford, Andrew Parsons and Jacqueline HunStroke in 2005, it describes the different treatment options available for strokes, it particularly reviews treatments aimed at “acutely improving blood flow or protecting the brain tissue against ischaemia and enhancing stroke recovery or reducing the risk of stroke recurrence” (Beresford, Parsons and Hunter, 2003). The article than goes onto talk about the background of stokes and their links to medically related deaths in developed countries, the medical needs of a stroke, the existing treatments such as acute therapy, management of stroke recovery, stroke preventions, post stroke neuroregeneration, current research goals and different approaches such as drugs to improves blood flow, etc. This article is very suitable for readers who wish to learn more about the treatment options for strokes. This journal article will be very helpful for future assessments as it is from a scholarly source and provides information in easy to read…
A specialist will infuse tPA into a vein in your arm. This kind of prescription must be given inside 4 hours of side effect onset. In a perfect world, it ought to be given at the earliest opportunity. The sooner treatment starts, the better your odds of recuperation. Along these lines, it's essential to know the signs and manifestations of a stroke and to summon 9–1–1 ideal for crisis mind.…
In the United States, stroke is the third-leading cause of death. Every forty seconds, someone suffers a stroke, while every four minutes, someone dies of a stroke. With this being the case, stroke knowledge is very important for people of all ages, gender, and race. Knowing the warning signs and ways to prevent could potentially save lives. A majority of Americans do not know the symptoms of a stroke.…
Yao et al. (2012) offer some examples of the physiological processes that contribute to the secondary brain injury, such as alterations in the balance between cerebral blood flow and metabolism, disruption of cerebral autoregulation, loss of cerebral vascular reactivity to carbon dioxide, and cytotoxic vasogenic fluid accumulation. Cerebral ischemia, intracranial hypertension, hypoxemia, hypotension, hypercapnia or hypocapnia, hyperglycemia or hypoglycemia are all of the factors that increase the severity of the secondary insult to the brain (Dinsmore, 2013). Preventing and minimizing the effect of these secondary insults, especially hypoxemia and hypotension, is the cornerstone of TBI management. A single episode of intraoperative hypotension in the TBI patient has a three-fold increase in morbidity and mortality compared to a normotensive patient (Curry et al., 2011).…
According to a study done in by American Medical Association, about the vast majority of patients that have ischemic stroke are provided an antithrombotic medication on discharge (Bushnell et al., 2010, p. 1458). There are two classes of antithrombotic medication, anti-platelet and anticoagulant, both help to prevent the formation of thrombi, or clots, which if get caught in a brain blood vessel are what cause an ischemic stroke (“Antithrombotic Therapy”, 2016). More than 83% of ischemic stroke patients are proscribed an antiplatelet, with ASA(aspirin) being proscribed almost 57% of the time (Bushnell et al., 2010, p. 1458). Twenty three percent of patients are prescribed warfarin, which is anticoagulant (Bushnell et al., 2010, p. 1458). Mr. Q has arteriosclerosis which means that a clot could become an embolus and travel to his brain reality easily and cause another stroke, which is why proscribing an antithrombotic is important for him.…