EMBOLIC STROKE
◙ heavy alcohol dissolve the blood clot that
Definition:
◙ Stroke refers to the
blockage of arterial access
to a part of the brain by an
embolus
◙ A type of ischemic
stroke that occurs when a
blood clot or a cholesterol
plaque wanders into the
brain and becomes trapped
inside an artery
Causes:
◙ Septic Emboli
◙ Atmospheric air
◙ Embolic myxoma
◙ Deep venous thromboses
◙ Cerebral embolism
Risk factor:
Modifiable
◙ high blood pressure
◙ high cholesterol
◙ smoking
◙ diabetes
◙ obesity
◙ drug abuse clot-buster drug to
consumption is causing the stroke Rehabilitation
 bleeding (e.g., The rehabilitation process
Non-modifiable easy bruising, bleeding can include some or all of
◙ age gums, pink/bloody urine, the following:
◙ gender black/bloody stools, vomit speech therapy to
◙ race that looks like coffee relearn talking and
◙ Hispanics grounds, dizziness, swallowing;
lightheadedness), occupational
Signs and symptoms: symptoms of a blood clot therapy to regain dexterity
◙ paralysis and numbness (e.g., swelling/pain in arm in the arms and hands;
◙ cognitive impairment or near catheter). physical therapy
◙ vision impairment to improve strength and
◙ language impairment walking; and
◙ motor impairment Generic Name: Heparin family education
◙ headache Lock Flush-inj to orient them in caring for
Diagnostic Tests: Brand Name: Hep-Lock their loved one at home and
◙ CT Scan  Heparin lock the challenges they will
◙ MRI flush is used to clear (flush) face.
◙ Angiogram IV lines or catheters to keep
◙ Carotid Duplex them open and flowing Surgical:
◙ Transcranial Dopler freely. ◙ Angioplasty
◙ Echocardiogram  fever, chills, is the technique
itching or irritation at the of mechanically widening a
Management: line site, unusual bruising narrowed or obstructed
Medical or bleeding blood vessel
Generic Name: Alteplase ◙ Carotid endarterectomy
(AL-teh-PLACE)
 removes the
Brand Name: Cathflo
inner lining of your carotid
Activase
artery if it has become
thickened or damaged.
◙ Extracranial- intracranial
bypass
 is an operative
procedure in which the
superficial temporal artery
is anastomosed to the
middle cerebral artery.
is a surgical
procedure to increase
cerebral blood flow.
Nursing Diagnosis:
Dx: Impaired verbal
communication r/t loss of
facial or oral muscle tone
control
Plan: Will establish method
of communication in which
needs can be expressed
Intervention:
◙ Provide
alternative methods of
communication, like
pictures & visual cues,
gestures & demonstration
◙ Anticipate &
provide for patients needs
◙ Encourage family
members to persists effort
to communicate with the
patient
◙ Impaired tissue perfusion
◙ Impaired airway
clearance
◙ Impaired physical
mobility
◙ Impaired swallowing
Research:
In contrast to these
commonly reported results,
this retrospective study
demonstrated a 12.7%
incidence of poststroke
seizure and a 4.3%
incidence of poststroke
epilepsy in patients with
clearly defined embolic
stroke.
According to Dr. Palade,
while the results of this
retrospective study were
somewhat surprising, “We
set out to demonstrate that
careful identification of the
source of the embolus
would allow a more
accurate estimate of the
frequency of poststroke
seizures and epilepsy than
previously reported. Our Submitted by:
goal was to increase Resti Mariano
awareness of the efficacy of BSN III-2
this approach.”
References:
http://strke.about.com/od/gl
ossary/g/DVT.html
http://meducal-
dictionary.com/embolicstro
ke
http://www.ehow.com/how
prevent-embolic-strole.html
http://uwmedicine.washingt
on.edu’patient-care/our-
services/medical-
services/stroke-cener
http://medicinet.com
http://mayoclinic.com
http://www.neurologyrevie
ws.com_stroke.html