Essay - Strokes Cerebrovascular Accidents, Often Called Strokes, are Interruptions to the...

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Cerebrovascular accidents, often called strokes, are interruptions to the blood flow in the brain. They can be caused by sudden blockage of a blood vessel (ischemic stroke), or rupture of ***** blood vessel (hemorrhagic stroke). Strokes are medical emergencies that can cause coma, paralysis, muscle weakness, memory, speech/language or o*****r brain function problems (5). Immediate emergency treatment helps ensure the *****st possible outcome f***** a p*****tient who has had a stroke. Two thirds of all ***** occur in people over the age of 65 (5), and it is ***** third most common cause ***** death in the Un*****ed States (Dougherty, 1998). They ***** a major ***** of disability as well (Byington et. al., 2000).

***** *****s ***** have sever***** causes. Sometimes an embolism, or blood clot, forms in one part ***** ***** body and travels to the ***** where it blocks a small blood vessel. Thrombosis, or artery *****, can also cut off blood *****, when a ***** blood clot ***** on the arterial plaque. Most thrombotic strokes are caused ***** ***** combination of blood ***** narrowing and a clot. Hemorrhagic strokes occur when a ***** vessel in the br*****in **********. These strokes can vary from very mild to *****. They may be caused by high blood pressure, a we*****kness in ***** ***** vessel, or a comb*****ation of both (*****).

***** risk fac*****rs for stroke can ***** divided into two groups: controllable and uncontrollable. When a person has several uncontrollable risk factors, it becomes more important for him her to control the *****s that can be.

Un*****lable ***** factors include

*****: The older the *****, the more likely they may have a *****.

Gender: more men than women have strokes

Race: African-Americans ***** Hispanics have ***** strokes ***** Caucasians

Family history


History of a previous stroke

Controll*****ble risk factors:

***** blood pressure

Heart disease, particularly atrial fibrillation. When blood collects in the heart the ***** of forming a blood clot increases.

***** cholesterol resulting in blood vessel blockage

Sleep apnea, which can cause spikes in blood pressure

*****, which damages blood vessels and raises blood pressure

Alcohol abuse


***** of a stroke include sudden we*****kness or feeling of numbness, especially on *****e side of the body; sudden difficulty speaking or confusion; sudden vision disturbance in one or ***** eyes: difficulty walk*****g, loss of balance ***** poor coordination, or a sudden *****nd severe headache (Barker, 2001). Less commonly, ***** patient can develop sudden nausea and vomiting marked by rapid onset, which may ***** a fever; or ***** brief loss ***** consciousness, which can be as mild as an apparent fainting spell or as severe as convulsion or ***** (5)

Emergency room nurses c***** provide a valuable first line of evaluation by using stroke checklists of symptoms and alerting the triage doctor if ***** suggest the possibility of a stroke. Rapid diagnosis allows the medical team the ***** options for treatment whet***** it is drugs to dissolve the ***** or a c*****rotid artery stent (Dougherty, 1998) to improve blood


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