Causes and Medication for Brian's Ischaemic CVA

Nursing

Table of Contents
INTRODUCTION...........................................................................................................................1
Cause of Brian’s CVA.....................................................................................................................1
Overview of the case..............................................................................................................1
Factors and sign symptoms..............................................................................................................3
The risk factor which lead to CVA.........................................................................................3
Signs and symptoms which has result of CVA to Brian........................................................3
Medication for the disease from which the patient is suffering.............................................3
Administration of Brian’s discharge medication as first pass effects....................................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................8

INTRODUCTION
Nursing have been considered which lies as fundamental respect in term of the human
dignity along with institution of the patients’ needs which is tends to be followed to the rigorous
core learning. This have the continuous level of responsibility for encouraging the health of in
medical and community settings Ahmed, N. (2010). Ischaemic CVA is the haemorrhagic stroke
have the occurrence as the situation when the bleeding in the brains happens die to break in
blood vessels. In this report, the case of the Brian will be discussed regarding the reason, risk
factor which have increase the risk of the CVA.
Cause of Brian’s CVA
Overview of the case
Over view of the case study as the Brian fuller is the 78-year-old man living with his wife
have noticed that’s the left side of face is drooping along with weakening of the left side body.
He has failed to speaks properly and feel on the floor. As per the arrival in the hospital it has
been diagnosed as Brian have a BP of 190/91, HR 115, RR 24, SaO2 95% on room air and a
temperature of 37.2. where he has later on diagnosed with ischaemic CVA.
Ischaemic CVA is the haemorrhagic stroke have the occurrence as the situation when the
bleeding in the brains happens die to break in blood vessels. As the risk factor for the stroke is
the about the uncontrolled level of hypertensions, history if brans aneurysm, old ages as the
aging of blood vessels.
Rationale for the selection of the reason for the Brian issues
As per the per past medical history, it has been stated that’s the brain was suffering the varied
level of Hypertension, Hyper cholesterolaemia, T2DM, AF, GORD and Cholecystectomy 5
years ago. The circulatory cognition is the major level of risk for the ischemic stroke which can
be such as the high blood issue, atherosclerosis. high cholesterols and more prior to attacks
Martín‐Merino and et.al., (2011). As per in the case their ischemic stroke and hypertensions is
the considered to be the major cause of this type of the strokes. As per the past medical history
brain was suffering from the hypertensions as during this situation where the transit blood
pressure tends to have risen about their 50 % of the ischemic strokes and also increases the risk
of haemorrhagic stroke. As this reason have been selected as their major cause of the Brian
Ischaemic CVA have been to the due to the strain hypertensions which have placed all the blood
vessels of brain to the weaken situations and the predisposes them to the respective damage.
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This makes the hart to work harder in order to make their heart keep circulation. This have been
the major reason for the blood vessel to have the blocking and turned out to be the important
causes ischemic stroke and hypertension is the most important cause of this type of stroke and
also transient ischemic attacks.
Pathophysiological perspective for the ischemic CVA
As per the pathophysiological perspective have the implicates there most important cases as the
implication in is implicated in haemorrhagic strokes when a blood vessel in the brain bursts and
blood leaks into the brain Karimi, M and et.al., (2010). As pathophysiology for the CVA in brain
have the affect level of artery (thrombosis) which ever is the calot which is travelled form
another part of the body have the gets lodged in the blood vessels of the brain. As the blockage in
the single artery can be manages or more often being compensates by other arteries which are
known as there call collaterals. As per the pathophysiological perspective the damage that’s is
the diene bey the hypertension have the apprising offer over large times which can be only bee
reasoned when the adage in already have the happened body blood vessels.
In the case of Brian Atherosclerosis (hardening of the arteries) along with damage of the other
arteries can have the leading to the Arteriovenous malformations (AVMs) by forming the
abnormal way of tangles in the blood vessels which flow directly into the vein and directly
have the been the another cause of the ischemic stroke.
Pathogenesis of CVA as per the past medical history.
As the pathogenesis is been discussed regarding the case of the brain can be such as there is the
relationship between the obstruction of the internal carotid arteries in the neck and
cerebrovascular disease. In order to that’s it is further suggested that thrombotic debris were
responsible for the event Jager, N. G and et.al., (2014). On the other hand, there is the vascular
level of pathology which is underlying to under the lacunar infracts. In addition to the past
medical history. it can be stated as the brain was suffering for the Hypercholesterolaemia which
is the excess level of cholesterol in human body which increases the risk of the of
cerebrovascular disease, including ischemic stroke. There was the level of suffering of brains
such as T2DM is the age life have the helped in increase the cardio vascular disease in perfect
manner as over; it effects the 36% of all predoom who race suffering form CVA.
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