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

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***** accidents, often called strokes, are interruptions to the blood flow in ***** brain. They can be caused by sudden blockage of a blood vessel (ischemic stroke), or rupture of ***** blood ***** (hemorrhagic *****). Strokes are medical emergencies that can cause coma, paralysis, muscle weakness, memory, speech/language or other brain function problems (5). Immediate emergency treatment helps ensure the ********** possible outcome for 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 of death in the United States (Dougherty, 1998). ***** are a major ***** of disability as well (Byington et. al., 2000).

Ischemic *****s can have several causes. Sometimes an embolism, or blood clot, forms in one part of the body and travels to the ***** where it blocks a sm***** ***** vessel. Thrombosis, or artery *****, can also cut *****f blood flow, when a sm*****ll blood clot f*****ms on ***** arterial plaque. Most thrombotic strokes ***** caused by the combination of ***** vessel narrowing and a clot. Hemorrhagic strokes occur when a blood vessel in the brain *****s. These strokes can vary from very mild to *****. They may be caused ***** high blood pressure, a weakness in the ***** *****, or a comb*****ation of both (5).

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

Un*****lable risk factors include

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

Gender: more men than women have strokes

Race: Afri*****-Americans and Hispanics ***** ***** strokes than Caucasians

Family history


History of a previous stroke

Controllable risk *****:

***** blood pressure

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

***** cholesterol resulting in blood vessel blockage

Sleep apnea, which can cause spikes in blood *****

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

Alcohol abuse


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

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


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