S/S OF STROKE
Neurological Conditions Related to Stroke
Dysarthria
Definition: A condition where the patient is unable to speak clearly due to weak muscles.
Characteristics:
Results in slurred speech, as referenced in the mnemonic FAST (Face, Arms, Speech, Time).
Speech can be hard to understand, impacting communication effectively.
Apraxia
Definition: The inability to perform voluntary movements despite normal muscle function.
Examples of Difficulty:
Patients may struggle to perform purposeful movements like winking or reaching to scratch their arm.
They understand what they want to do but cannot execute the movements.
Agraphia
Definition: Loss of the ability to write.
Implications: The patient is unable to express thoughts through written language, impacting communication and cognitive assessment.
Alexia
Definition: Loss of the ability to read.
Characteristics:
Patients might struggle to comprehend text, or they may have difficulty seeing the words altogether.
The term is connected to 'dyslexia,' albeit 'alexia' pertains strictly to reading.
Agnosia
Definition: The inability to recognize or understand sensations, known objects, or people.
Example Scenario:
A patient shown a pencil might fail to identify it or call it by another name altogether, indicating a disconnect between perception and understanding.
Dysphagia
Definition: Difficulty swallowing.
Nursing Implication:
There is a heightened risk for aspiration, which can lead to pneumonia, making it critical to monitor this symptom in patients.
Hemianopia
Definition: Limited vision in half of the visual field.
Characteristics:
Patients may see only part of an object in view; for instance, they might see one half of a pencil but not the other half.
Etymology Breakdown:
"Hemia" signifies half, while "opnia" pertains to the eyes.
It is crucial for nursing care, as patients are at risk for injury due to visual limitations.
Stroke Diagnosis
Initial Diagnostic Strategies
Commonly Ordered Tests:
CT Scan of the Head:
Conducted immediately to rule out hemorrhagic stroke (bleeding in the brain).
Essential as patients with bleeding cannot receive certain treatments such as tPA.
MRI:
Used to assess the specific brain lobes and areas affected by the stroke to aid in diagnosis.
Treatment: Tissue Plasminogen Activator (tPA)
Overview of tPA
Definition: tPA is a clot-dissolving medication used specifically for ischemic strokes (caused by a clot).
Mechanism of Action: tPA activates the protein that promotes fibrinolysis, leading to the breakdown of clots and restoration of blood flow to brain tissue in need.
Administration Timeframe: Must be administered within three hours from the onset of symptoms to maximize effectiveness.
Exceptions: For some patients, if they meet strict criteria, administration can potentially occur within three to four and a half hours.
Critical Criteria for tPA Administration
CT Scan:
Must be negative for signs of bleeding (indicates no hemorrhagic stroke).
Suspected Subarachnoid haemorrhage
Evidence of intracranial haemorrhage
Laboratory Values:
All labs should be within normal limits, including:
Blood glucose levels (neither hypoglycemic nor hyperglycemic).
Clotting levels, particularly INR and platelets.
Blood Pressure Control:
Systolic blood pressure must be less than 185 mmHg.
Diastolic blood pressure must be less than 110 mmHg before administration.
Often requires antihypertensive medications to manage high blood pressure in stroke patients.
Recent Medication Usage:
Patients should not have received anticoagulants (e.g., heparin or warfarin), as a concurrent risk of bleeding may increase, but if stopped after a week can have TPA. Duration of action is 2-5days
Patient with ischemic stroke have permissible hypertension which is normal
If you drop BP too quickly, you can:
Reduce cerebral perfusion pressure (CPP)
Worsen ischemia
Expand the infarct area
So, the high BP is compensatory — the body’s way of maintaining blood flow around the blockage.
That’s why clinicians permit higher BP for the first 24–48 hours, unless there are specific reasons to lower it.