35054088 cardiovascular accident cs

8/13/2019 35054088 Cardiovascular Accident CS

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LICEO DE CAGAYAN UNIVERSITY R.N.P. Blvd., Carmen, Cagayan de Oro C!y

C O L L E G E O " N U R S I N G

Ρ ε λ α τ ε δ Λ ε α ρ ν ι ν γ Ε ξ π ε ρ ι ε ν χ εΝ Χ Μ 5 1 2 4

A Care Study

?

With

Cardio Vascular Accident,

(Thrombotic)



XTABLE OF CONTENTS

I. Introduction

II. Patient’s Profile

III. Nursing Syste !e"ie# C$art

I%. &ro#t$ and 'e"elo(ent

%. Pat$o($ysiology

%I. 'octor’s Order

%II. Ideal Nursing anageent

%III. Actual Nursing )anageent

IX. Progress Notes

X. E"aluation and I(lication

XI. !eferral and Follo#*u(

XII. +ealt$ Teac$ings

XIII. Prognosis



icere

,rain attac-

http://en.wikipedia.org/wiki/Embolism

http://en.wikipedia.org/wiki/Hemorrhage

http://en.wikipedia.org/wiki/Old_age

http://en.wikipedia.org/wiki/Hypertension

http://en.wikipedia.org/wiki/Transient_ischaemic_attack

http://en.wikipedia.org/wiki/Diabetes_mellitus

http://en.wikipedia.org/wiki/Hypercholesterolemia

http://en.wikipedia.org/wiki/Cigarette_smoking

http://en.wikipedia.org/wiki/Atrial_fibrillation

http://en.wikipedia.org/wiki/Migraine

http://en.wikipedia.org/wiki/Thrombophilia

http://en.wikipedia.org/wiki/Risk_factor

http://en.wikipedia.org/wiki/Myocardial_infarction

http://en.wikipedia.org/wiki/Thrombosis



Patient’s Profile

Nae/ 'ate Aditted/

Age/ Tie Aditted/

Se0/ 1eig$t/

!eligion/ +eig$t/

Ci"il Status/ Birt$day/

Nu,er of C$ildren/ Nationality/

Address/

Occu(ation/

+us,and/



BP/

T/

P!/

!!/

+ealt$ +istory

mananabang



+istory of (resent illness



EENT/

!ESP/

CA!'IO%ASC4LA!/

&AST!OINTESTINAL T!ACT/

Nursing Syste !e"ie# C$art



S4B8ECTI%E OB8ECTI%E

CO))4NICATION/

OX6&ENATION/

CI!C4LATION/



ELI)INATION/

)&T. OF +EALT+ 9 ILLNESS/

S4B8ECTI%E OB8ECTI%E

S7IN

INTE&!IT6/



CO)FO!T:SLEEP:A1A7E/

COPIN&/

Contact 3/

SPECIAL PATIENT INFO!)ATION 'aily #eig$t ;;; PT:OT ;;

; BP < s$ift ;;;; IrradiationNeuro "s 4rine testC%P:S& !eading => $our 4rine Collection



Growth

development

SI&)4N' F!E4'’S PS6C+OSEX4AL T+EO!6

!OBE!T +A%I&+4!T’S 'E%ELOP)ENTAL TAS7 T+EO!6



'OCTO!’S O!'E! !ATIONALE

Se(te,er ?@ =

??/@= (

•

•

•

• LAB/

CO)PLETE BLOO' CO4NT

POTASSI4) D7

http://www.labtestsonline.org/understanding/conditions/anemia.html



C!EATININE CLEA!ANCE TEST

S&PT

.

EC& ?= lead

CT SCAN B!AIN (lain stat



•

•

Se(te,er ?G =

•



•

Se(te,er ?G = =/ a

•

•

• Se(te,er ? =



•

Se(te,er ?H =

•

•

•

•

Se(te,er ? =



SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS

N4!SIN& P!ECA4TION

&ENE!IC NA)EDB!AN' NA)E

'ATE O!'E!E'

CLASSIFICATION

'OSE:F!EJ4ENC6:!O4TE

)EC+ANIS) OF ACTION



)EC+ANIS) OF ACTION

SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS

N4!SIN& P!ECA4TION


'ATE O!'E!E'

CLASSIFICATION


)EC+ANIS) OF ACTION

SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS



SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS

N4!SIN& P!ECA4TION


'ATE O!'E!E'

CLASSIFICATION


)EC+ANIS) OF ACTION

SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS



SPECIFIC IN'ICATION

citicoline

A'%E!SE EFFECTS


'ATE O!'E!E'

CLASSIFICATION


)EC+ANIS) OF ACTION

SPECIFIC IN'ICATION

CONT!AIN'ICATION



N4!SIN& P!ECA4TION


'ATE O!'E!E'

CLASSIFICATION

'OSE:F!EJ4ENC6:!O4TE)EC+ANIS) OF ACTION

SPECIFIC IN'ICATION

CONT!AIN'ICATION

A'%E!SE EFFECTS



La,oratory results

CT Scan

I(ression/



'ifferential count



!adiologic !e(ort

'ate/

E0aination/

•

•

+eatology Test



'ifferential count

C$est X!A6

'ate/



•

•

•

•

A!TE!IAL BLOO' &AS

'ate/

Tie/

Noral %alues



•

•

Ideal Nursing )angaeent



N4!SIN& 'IA&NOSIS/ Tissue Perfusion ineffecti"e cere,ral

)ay ,e related to

Possi,ly e"idenced ,y

'ESI!E' O4TCO)ES:E%AL4ATION C!ITE!IAKPATIENT 1ILL/

Neurological Status DNOC



Cere,ral Perfusion Prootion DNIC

I d d t



Colla,orati"e



Cere,ral Perfusion Prootion DNIC

Colla,orati"e

Note:



Note:

N4!SIN& 'IA&NOSIS/ Counication i(aired "er,al and:or #rittenM

)ay ,e related to




Counication En$anceent/

S(eec$ 'eficit DNIC

Inde(endent



Counication En$anceent/

S(eec$ 'eficit DNIC



Colla,orati"e

N4!SIN& 'IA&NOSIS/ Sensory Perce(tion distur,ed Ds(ecify

)ay ,e related to





Cogniti"e A,ility DNOC

En"ironental )anageent DNIC

Inde(endent



Peri($eral Sensation )anageent

DNIC

Inde(endent



N4!SIN& 'IA&NOSIS/ Self*Care deficit Ds(ecify

)ay ,e related to



Self*Care/ Acti"ities of 'aily Li"ing DA'Ls DNOC



S#allo#ing T$era(y DNIC

Inde(endent



Note:

For example:

Note:



Actual Nursing )anageent

S

O

A

P

I

To detect early signs of compromise

To aid breathing and chest expansion and to ventilate

basilar lung fields



infection.

To help prevent respiratory distress

E

S

O

A

P

I



E

S

O

A

P

I



To avoid discomfort and sin breadown

These measures encourage compliance with sin care regimen

E

S

O

A

P

I



#ationale: #educes hypoxemia! which may increase cerebral vasodilation

and blood volume! elevating *(+.

E

Progress Notes



•

•

•

•

•

•

•

•

O4TPATIENT/



4nderstanding Pat$o($ysiology

Nursing 9 Allied +ealt$ 'ictionary

T$e Li((incott )anual of Nursing Practice

Li((incott’s Poc-et )anual of Nursing Practice

)edical*Surgical Nursing

Nursing 'iagnosis !eference )anual

% Pat$o($ysiology

http://www.emedicine.com/med/topic1776.htm

http://www.gicare.com/pated/ecdgs09.htm

http://www.mayoclinic.com/health/peptic-ulcer/DS00242/DSECTION=8



%. Pat$o($ysiology

'efinition

Cere,ral T$ro,osis

At$erosclerotic Process

Cer,ral At$erosclerotic

Slo#ing of t$e cere,ral circulation

'ecrease o0ygen to t$e cere,ral tissue

Anaero,ic &lycosis

Cere,ral %ascular S(as

Neurostransital'estruction/ 1ea-ness of )out$

and T$roat/

Counication/Perce(tual 'istur,ances/

Predis(osing Factor/

AgeD@

+eridetary D )ot$er side

Preci(itating Factor/

• +y(ertension

BPD?@:?

35054088 cardiovascular accident cs

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