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Concept Mapping for Deteriorating Patient and Risk Factors of Haemorrhagic Stroke

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Added on Ā 2023/06/12

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This e-poster presentation covers the risk factors associated with haemorrhagic stroke and concept mapping for deteriorating patient. It includes information on types of CVA, pathophysiology, clinical manifestations, diagnosis, and nursing and medical management strategies. The presentation is relevant for healthcare professionals and students studying related subjects.

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Nursing and medical management strategies
There are some of the nursing and medical
management may include positioning, preventing
adduction, preventing enema, regain balance,
personal hygiene and full range of
emotion (Lennon and et. al., 2018).
There are some of the treatment and intervention
for haemorrhagic stroke which may include
thrombectomy, anticoagulants, statins, carotid
endarterectomy, blood pressure medicines, and
thrombolysis. This can be also managed through
vasopressors, resuscitation and blood transfusion
which can be effective in preventing and treating
acute coagulopathy of trauma (Chu and et. al.,
2018).
Diagnosis study
There is need to perform the
diagnosis which may include the
electrocephalogram (EEG) or lumbar
puncture which should be done to
confirm diagnosis of haemorrhagic
stroke (Kalani and et. al., 2020).
Here, Computed tomography (CT)
scan be widely considered as the
gold standard as the diagnosis of
haemorrhagic stroke.
There is need to perform diagnosis
for the ischemic stroke which may
include the Magnetic resonance
imaging (MRI) which are effective
and are associated with view of
arteries and veins to ensure about
the blood flow (Rafsten and et. al.,
2018).
REFERENCES
Al-Sadawi, M., Mohamadpour, M., Zhyvotovska, A., Ahmad, T., Schechter, J., Soliman, Y. and McFarlane, S.I., 2019. Cerebrovascular accident and snake
envenomation: a scoping study. International journal of clinical research & trials, 4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746409/
Coles, B., Zaccardi, F., Ling, S., Davies, M.J., Samani, N.J. and Khunti, K., 2021. Cardiovascular events and mortality in people with and without type 2 diabetes:
An observational study in a contemporary multiā€ethnic population. Journal of diabetes investigation, 12(7), pp.1175-1182.
https://onlinelibrary.wiley.com/doi/full/10.1111/jdi.13464
Merlino, G., Gigli, G.L., Bax, F., Serafini, A., Corazza, E. and Valente, M., 2019. Seizures do not affect disability and mortality outcomes of stroke: A population-
based study. Journal of clinical medicine, 8(11), p.2006. https://www.mdpi.com/2077-0383/8/11/2006
Keszler, M., Gude, T. and Heckert, K., 2018. Pain syndromes associated with cerebrovascular accidents. In Challenging Neuropathic Pain Syndromes: Evaluation
and Evidence-Based Treatment (pp. 155-165). Elsevier Inc..
https://jhu.pure.elsevier.com/en/publications/pain-syndromes-associated-with-cerebrovascular-accidents
Javedani, P.P. and Zukowski, M., 2019. Cerebrovascular accident in a pediatric patient presenting with influenza. The Journal of Emergency Medicine, 57(1),
pp.e17-e19. https://www.sciencedirect.com/science/article/pii/S0736467919301428
Kalani, M.Y.S., Alsop, E., Meechoovet, B., Beecroft, T., Agrawal, K., Whitsett, T.G., Huentelman, M.J., Spetzler, R.F., Nakaji, P., Kim, S. and Van Keuren-Jensen, K.,
2020. Extracellular microRNAs in blood differentiate between ischaemic and haemorrhagic stroke subtypes. Journal of extracellular vesicles, 9(1), p.1713540.
https://www.tandfonline.com/doi/full/10.1080/20013078.2020.1713540
Zhu, W. and Jiang, Y., 2019. Determinants of caregiver burden of patients with haemorrhagic stroke in China. International Journal of Nursing Practice, 25(2),
p.e12719. https://onlinelibrary.wiley.com/doi/abs/10.1111/ijn.12719
Rafsten, L., Danielsson, A. and Sunnerhagen, K.S., 2018. Anxiety after stroke: A systematic review and meta-analysis. Journal of Rehabilitation Medicine, 50(9),
pp.769-778. https://europepmc.org/article/med/30184240
Lennon, O., Blake, C., Booth, J., Pollock, A. and Lawrence, M., 2018. Interventions for behaviour change and self-management in stroke secondary prevention:
protocol for an overview of reviews. Systematic reviews, 7(1), pp.1-9 https://link.springer.com/article/10.1186/s13643-018-0888-1
Risk factor associated with haemorrhagic stroke
There are some of the risk factor which are associated with
haemorrhagic stroke which, may include hypertension,
excessive alcohol consumption, current smoking, drugs and
hypocholesterolaemia. This may also include the older age
which can include high blood pressure, excessive alcohol
intake and others.
Risk factor associated with Ischemic stroke
There are also some of the risk factor which are associated
with Ischemic stroke that may include increasing blood
cholesterol, increasing blood pressure, atrial fibrillation, carotid
stenosis which are casual risk factors (Keszler and et. al.,
2018). This are some of the risk factor which are identified due
to findings of the study of randomized controlled trials which
provides the outcomes that treating them can help to reduce
the risk of ischemic stroke (Zhu and et. al., 2019).
Cerebrovascular accidents (CVA) refers to the medical term which are associated with
stroke (Al-Sadawi and et. al., 2019). This happens when blood flow stops to get in part of
brain due to either rapture or blockage of blood vessels.
Types of CVA and its pathophysiology
There are two main type of CVA which includes ischemic stroke which causes due to
blockage and haemorrhagic stroke which caused due to rapture of blood vessels (Coles
and et. al., 2021).
Pathophysiology of Ischaemic stroke
Common pathway of ischaemic stroke can be due to lack of sufficient blood flow that can
perfuse cerebral tissue which causes due to narrowed or blocked arteries within brain.
Pathophysiology of Haemorrhagic stroke
Haemorrhagic stroke is form of stroke which occurs when blood vessel gets raptured within
brain or bleeds. It also interrupts the brains blood supply which can be due to bleeding
vessel that no longer carry blood to its target tissues (Merlino and et. al., 2019).
Clinical manifestations
This may include the sudden madness or
weakness of face, leg and arm. It can be
observed specially in one side of body. There is
also observation of sudden confusion, trouble in
understanding speech and speaking. It also
creates sudden trouble seeing one or both
eyes (Javedani and et. al., 2019). This may
include sudden weakness, confusion, sudden
trouble in walking, sudden dizziness, loss of
balance or coordination, trouble speaking severe
headache with unknown cause.
Concept mapping for the deteriorating patient
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