Depletion of blood flow in a cerebral artery resulting from a thrombus or embolus. (1)
Occlusion of cerebral artery production of ATP failure of energy pumps influx of sodium and calcium ions and efflux of potassium passive inflow of water cytotoxic oedema destruction of cells in infarct core.
Membrane depolarisation release of glutamate excessive calcium influx into neurons destruction of cells by lipolysis, proteolysis and free radicals.
infarct core and ischaemic penumbra
necrotic tissue not able to conduct impulses interrupting normal function such as motor and sensory transmission and speech.
Right-sided hemiplegia and weakness
Sensory loss on right side
Inability to see the right visual field of each eye
Problems with memory
Physical and neurological examination
Brain MRI or CT scan differentiate cerebral haemorrhage from ischaemic stroke
Other tests for vascular imaging CT angiography, magnetic resonance angiography
Diet high in fruit and vegetables
Diet low in fats and salt
30 minutes of exercise daily
Reperfusion Thrombolytic (tPA )
Nursing acute phase
Frequent evaluation of neurological status and vital signs
Oxygen saturations administer oxygen if required
Screen for swallowing manage hydration and nutrition
Manage activities of daily living
Address appropriate communication strategies
Passive and active movement
Encourage activities provided by physiotherapists, speech and occupational therapists e.g. mobility, speech, ADL
Neuroprotection e.g, aspirin
Course of disease
With reperfusion blood restored to area, many symptoms gradually resolve
Without treatment ischaemia extends to penumbra symptoms worsen. Recovery may continue 6 months to a year but left with disability. Requires rehabilitation to optimise function 8
Dysarthria and aphasia
Death of brain tissue resulting from an occluded cerebral artery in the left side of the brain.. 6.
One in five likely to die within one month.
Of those who recover about 90% will experience some impairment. 9
Prevents formation of
Leads to need for immediate
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more