What are the nursing care priorities during the acute phase of stroke?

Keywords

  • Complex ischemic stroke patients
  • Intensive care unit (ICU) nursing care
  • Poststroke complications

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Published online: December 19, 2019

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DOI: https://doi.org/10.1016/j.cnc.2019.11.005

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© 2019 Elsevier Inc. All rights reserved.

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What is the priority care during the acute phase following a stroke for the individual?

Vital Signs Monitoring. The initial nursing assessment of the patient with stroke after admission to the hospital should include evaluating the patient's vital signs, particularly oxygen saturation, BP, and temperature, in addition to measuring blood glucose and performing a bedside dysphagia screen/assessment.

What are some nursing interventions for stroke patients?

Nursing Management.
Assess mental status and level of consciousness..
Observe for neurological deficits..
Measure and monitor pupil size..
Assess breathing..
Monitor vital signs..
Assess higher function like speech, memory, and cognition..
Provide a quiet environment with the head of the bed elevated..

What is the major goal of management of acute stroke in early stage?

The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies, within 60 minutes of patient arrival.

What is the acute phase of a stroke?

The clinical staging of stroke (Cramer, 2008; Rehme et al., 2012; Zhao et al., 2014) is generally accepted as follows: the first 2 weeks are defined as the acute stage; 3–11 weeks post-stroke is termed the subacute stage in which most changes occur; 12–24 weeks post-stroke is the early chronic stage; and more than 24 ...