Reference no: EM133568854

Homework: Gero CVA

The goal of this homework is to foster clinical practice skills and facilitate the learning objectives in the understanding of Cerebral Vascular Accidents (CVA's); along with the nursing responsibility as noted from the neurological lecture.

Student Learning Outcomes:

1) Understand what is included in a detailed neuro assessment includinguse of the NIH stroke scale.
2) Describe the basic assessment related to protection of airway and swallowing in CVA patients.
3) Demonstrate knowledge of CVA specific medications used in acute patient management of CVA patients.
4) Describe the purpose of CT scan as the first patient treatment modalityin the plan of care.
5) Demonstrate use of research to validate your answers and medication treatment response.
6) Demonstrate use of APA scientific writing to support writing and reference.

Task

Question A. Compare and contrast the pathophysiological processes involved in the following types of cerebral vascular accidents

1. Transient Ischemic attack (TIA) -
2. Ischemic-
3. Hemorrhagic -

Question B. What common risk factors contribute to the above types of CVA?And why?

Question C. What are physical signs and symptoms associated with CVA's?

Question D. What is the overall goal of medical therapy during the treatment of patient's experiencing an acute CVA?

Question E. Describe the components of a full neurological assessment.

Question F. How would you assess the patient using the NIH stroke scale?

Question G. How are the results of a head CT scan used to determine medical therapy in the acute patient experiencing CVA symptoms? Why is CT scan the most important and first intervention?

Question H. I. Describe the Pharmacodynamics only of the listed medications below: (Use a drug reference guide; either book, web or ‘up to date' for your answers. Be sure to list the reference used in the reference section).

1. Warfarin
2. Hydralazine
3. Diltiazem
4. TPA
5. ASA

II. For the above medications, list the following for each medication, include:

1. Indications for use
2. Risks of use
3. Potential complications
4. Contraindications
5. Antidotes

*Leave question 8b in bullet point format. Do not create paragraph's. *

Example Answer:

Warfarin

1. Indications for use-
2. Risks of use -
3. Potential complications -
4. Contraindications -
5. Antidotes -

Question I. What potential complications may result in a patient following an acute CVA? How would the nurse manage each complication? (List at least 2 potential complications).

Question J. What nursing interventions are designed to prevent each complication you have listed above.