Acute Ischemic Stroke Management Essay

Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.

The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause of

Mrs. Alice Palmer is a 54-year old married woman who has been admitted and is being treated with an ischemic stroke which she had 18 hours ago. This paper explores the nursing care of Mrs. Alice Palmer based on the clinical reasoning cycle by considering her situation first, collecting cues and information about her, processing the information gathered, then identifying problems or issues she is experiencing, and finally carrying out a detailed assessment. Also, the paper focuses on setting goals and establishing a nursing care plan in the community, and target ethnically safe practice. Ischemic stroke occurs when the brain tissue does not receive sufficient oxygenated blood due to an obstruction of the carotid artery (Brunner, Suddarth, & Smeltzer, 2008). When the brain does not receive enough oxygenated blood, some or all of its tissues may get damaged

To have their symptoms diagnosed, a person must first seek medical treatment. Only 20-25% of patients who are admitted to the hospital with a stroke arrive in the emergency department within 3 hours of the onset of symptoms (3). Once a doctor is able to determine what kind of stroke has occurred, it is important the appropriate medicine be given. If the wrong medicine were given to treat a stroke victim, it could result in death. Treatment for an ischemic stroke will focus mainly on restoring blood flow

It is important that the type of stroke is diagnosed quickly to reduce the damage done to the brain and also to determine the right type of treatment because one treatment for one kind of stroke can be harmful to someone who has had a different kind. A number of different medications may be given at the hospital to help break up the clot and prevent the formation of new clots. For Ischemic stroke the treatment can begin with drugs to break down clots and prevent further ones from forming. Aspirin can be given, along with an injection of a tissue plasminogen activator (TPA). TPA works by dissolving clots but it needs to be injected within 4.5 hours of stroke symptoms once they have presented themselves. Hemorrhagic stroke treatment can begin with drugs being given to reduce the pressure in the brain, overall blood pressure, prevent seizures and prevent sudden constrictions of blood vessels.(http://www.mayoclinic.org/diseases-conditions/stroke/diagnosis-treatment/treatment/txc-20117296) Because strokes are life-changing events that can affect a person both physically and emotionally, temporarily or permanently. After a stroke,

Neuroradiological imaging plays an important role in the process of diagnosing ischaemic stroke. The different imaging modalities that can be used to diagnose ischaemic stroke include computed tomography (CT), magnetic imaging resonance (MRI), and radionuclide imaging. In this article, the different modalities that contribute to the diagnostic process are discussed, with a focus on CT scan protocols.

Article Summary: In the article “Early Identification, Rapid Response, and Effective Treatment of Acute Stroke: Utilizing Teleneurology to Ensure Optimal Clinical Outcomes” by Patricia Bowens, exhibits the concerns of acute stroke as a universal health issue. Not to mention, the article also introduces teleneurology being implemented in order to establish a conclusive attempt to minimize the condition. For instance, in the article Bowen’s had conducted an experimental analysis which statistically establish a significant disparity among sex, race, and economical conditions. As a result of her study, it appears that seven million Americans are diagnosed with acute stroke over the age of 20. Moreover, gender plays a pivotal role of acquiring this

Stroke is a major public health concern occurring on average once every 40 seconds in the United States.(AHA) Although stroke patients benefit from time-critical therapy such as tissue-type plasminogen activator (tPA), providing interventions to patients within the therapeutic time frame is a challenge to small rural hospitals.1 Consequently, patients presenting to rural facilities have been found to be approximately ten times less likely to receive the therapeutic benefits of tPA than patients being treated at primary stroke centers where traditionally specialty care has only been available.2,3

Responsibilities involved detailed neurological patient assessment including history taking and examination in the Neurology clinic. Making an initial management plan and discussing treatment strategies with the supervisor. Discussing imaging studies of the various type of stroke patients with the clinical team and supervisor. These clinics exposed me to various types of stroke and learning their diagnosis and management, the lecture sessions by the supervisor after clinics helped me learn IV TPA administering protocol and rare neurological cases of

This study was made with three hundred patients who had a catheter and had also had a stroke in the past, and other three hundred patients were chosen but these patients didn’t have a history of strokes. The three hundred of the stroke patients were randomly selected and the other three hundred patients

In their study, 217 of 356 patients had a final clinical diagnosis of acute stroke. 27 of these patients were diagnosed with acute intracranial hemorrhage. MR detected this condition in 23 patients compared with CT in 25 patients. 190 of the patients were diagnosed with acute ischemia. MR correctly identified 164 patients compared with 35 in CT. Table 1 summarizes the statistics of these data (Chalela et al., 2007).

Experience with the revascularization procedures emphasizes time is a primary factor for the prediction of clinical outcome. Organizing prehospitalization care is essential to minimize the delay of therapy initiation. Transport to the closest primary stroke center or comprehensive stroke center should be immediate and rapid. It may even involve air medical transport. Implementation of the guidelines for acute care organization shortens the course of procedures in the acute phase of stroke and may improve the patient’s outcome.52 In patients with moderate or severe clinical deficit (NIHSS > 8), performing of vascular intracerebral imaging is advocated to select the subjects with large-vessel occlusion. In such

Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)

The paper entitled Secondary Prevention after Ischemic Stroke or Transient Ischemic Attack, focuses upon the clinical problem identified by Donnan and Davis. The clinical situation identified by these researchers states that strokes, are considered as being the second most prevalent form of death for patients whom have suffered from a myocardial infarction. As well as being the leading cause for these patients to develop a disability. The researchers further identify this issue by introducing a the paper with a case vignette which highlights the researchers purpose of the study as it shows that after a short period the individual is already showing signs and symptoms of suffering from a disability as within a period of one week there is evidence

Our brain is most complex organ system in our body. This three pound of tissue creates the main nerve center of the body. It controls our all body function, body movement, thought, and our behavior. Many of people do not know about the how a brain works? The left part of the brain controls our right side of the body and right side of brain part controls our left side of the body part. Our brain uses 20% of the total oxygen and blood in the body so it is required oxygen and nutrition from the blood for work properly. The lake of oxygen in the brain for 5 to 10-minute results in permanent brain damage or occurs a stroke. A stroke occurs when the blood supply to part of our brain is interrupted or severely reduced. A stroke is one of the diseases