Patients Profile
Patient name: ABC
Age: 32 yrs. Old
Sex: Male
Date of Admission: February 07, 2013
Admitting diagnosis: CVA prob. Thromboembolic Infarct
GCS: 11 (Lethargic)
V/S taken as follows:
BP= 110/80 mmHg
RR= 24 CPM
PR= 82 BPM
Temperature= 38.0 ͦC
Patient’s History * Past medical history of Bell’s Palsy * Mild Stoke
Introduction
Cerebrovascular accident (CVA) or Stroke, is the rapid loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage. As a result, the affected area of the brain cannot function, which might result in an inability to move one or more limbs on one side of the body, inability to understand or formulate speech, or an inability to see one side of the visual field.
A stroke is a medical emergency and can cause permanent neurological damage and death. It is the third leading cause of death behind heart disease and cancer. Stokes can be divided into two major categories: Ischemic (85%) in which vascular occlusion and significant hypoperfusion occur and hemorrhage (15%), in which there is extravasation of blood into the brain or subarachnoid space.
THROMBOSIS
Types of CVA
Strokes can be classified into two major categories: Ischemic and Hemorrhagic. Ischemic strokes are those that are caused by interruption of the blood supply, while Hemorrhagic strokes are the ones which result from rupture of a blood vessel or an abnormal vascular structure. * Ischemic Stroke
In an ischemic stroke, blood supply to part of the brain is decreased, leading to dysfunction of the brain tissue in that area results from a blockage. The blockage may result from atherosclerosis or blood clot formation. Signs appear on opposite side of the body from where stroke occurred. Affects structures on same side of the body if cranial nerves are damaged.
There are four reasons why this might