Hemorrhagic Stroke

Question 1

Hemorrhagic Stroke

Answer 1

Vessel integrity interrupted- bleeding into brain tissue.
Blood leaks into brain tissue.

Question 2

Intracerebral Hemorrhage

Answer 2

Caused by elevated blood pressure.

Question 3

Subarachnoid Hemorrhage (SAH)

Answer 3

Caused by rupture of aneurysm or arteriovenous malformation (AVM).
Most Common

Question 4

Hemorrhagic Stroke Risk Factors

Answer 4

Smoking
Substance Abuse (Stimulants)
Obesity
Sedentary Lifestyle
Alcohol
Hypertension
Diabetes
Blood Clotting Disorders
Age

Question 5

Nursing Assessment for Hemorrhagic Stroke

Answer 5

Focused Neuro Exam
LOC!!!!
Patient History
Past Medical History
Medications
Onset of Symptoms

Question 6

Hemorrhagic Stroke Clinical Manifestations

Answer 6

“Worst headache of my life!”
Sudden onset of severe, crushing headache.
Nausea, Vomiting
Photophobia
Change in mental status- a direct correlation to increased ICP.

Question 7

Hemorrhagic Stroke Diagnostic Studies

Answer 7

CT Brain - WILL SHOW BLEEDING QUICKLY!!
MRI (better for embolic or ischemia strokes)
Labs: May check coagulation studies if another disease or issue is present.
PT, PTT, INR

Question 8

Hemorrhagic Stroke Complications

Answer 8

Cerebral Hypoxia
Decreased cerebral blood flow.
Seizures
Vasospasm

Question 9

Nursing, Medical, and Surgical Interventions Hemorrhagic Stroke

Answer 9

Frequent Neuro Exams
Glasgow Coma Scale
Monitor for signs of increased intracranial pressure (ICP).

Question 10

Nursing Interventions Hemorrhagic Stroke

Answer 10

Vitals, Neuro Check
Bedrest
Minimize patient anxiety.
HOB 15-30 degrees.
No enemas, avoid nausea and vomiting.
DVT prophylaxis