By Sheila A. Alexander
With the getting older inhabitants ever growing to be, healthcare for people being affected by stroke and similar health problems is more and more important. Evidence-Based Nursing Care for Stroke and Neurovascular Conditions offers a accomplished and functional consultant for amateur, skilled and complicated perform nurses operating with sufferers struggling with stroke and different neurovascular conditions.
With a spotlight particularly on neurovascular issues, this hugely specific textual content deals easy-to-find details on evidence-based care guidance. The e-book starts with an intensive advent to common cerebrovascular anatomy and body structure and customary pathologic mechanisms, describing the original demanding situations in operating with this sufferer group. Later chapters give you the pathophysiology, diagnostic and present nursing interventions for the care of sufferers with neurovascular problems together with brief ischemic assaults, ischemic stroke, hemorrhagic stroke, Moyamoya, Migraines and more.
Evidence-Based Nursing Care for Stroke and Neurovascular Conditions is a must have source for practitioners taking good care of sufferers enduring stroke and different neurovascular stipulations
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Additional info for Evidence-Based Nursing Care for Stroke and Neurovascular Conditions
Chronic and paroxysmal atrial fibrillation represent common causes of initial and recurrent stroke. , 2011). In the absence of cardiac valvular disease, there is a 4–5-fold increase in the risk of ischemic stroke in the setting of atrial fibrillation (Kannel & Benjamin, 2008). , 2011). , 2001). Associated medical conditions that contribute to higher CHADS2 scores include congestive heart failure, hypertension, age 75 and older, diabetes, and stroke/TIA. Patients with a calculated CHADS2 score of 2 or greater are considered at moderate risk for stroke.
1996). The most commonly reported side effects are headache and gastrointestinal upset. Clopidogrel is a platelet receptor antagonist that is also an approved therapy for secondary stroke prevention. It is dosed once daily at 75 mg and has a similar safety profile to aspirin alone (CAPRIE Steering Committee, 1996). A potential medication interaction exists with medications that are metabolized via the CYP2C14 hepatic track. Proton pump inhibitors are included in this category and have been shown to reduce effectiveness of clopidogrel.
Anticoagulation to prevent thrombus formation in the left atrial appendage is the recommended treatment for patients with risk of stroke related to atrial fibrillation. The detection and accurate diagnosis of atrial fibrillation is often challenging. During the acute phase of stroke, continuous cardiac monitoring is indicated to assess rhythm and rule out arrhythmias. Extended cardiac monitoring following discharge is often ordered in situations where the stroke is thought to be of embolic origin, but no rhythm abnormalities or other causes of embolic stroke are detected on routine monitoring.