Miranda Besecker
Rebecca St Hilaire
Kashawna Folks
For each diagnosis below, provide a 3-5 sentence explanation of the
pathophysiology of the problem. (**we count sentences**) QSEN: Evidence Based Practice, Informatics, Client Centered Care. SLO: 1, 2, 4
PATHOPHYSIOLOGY:
1. Primary Diagnosis COMPLETE PATHOPHYSIOLOGY: (3-5 sentences)
(Enter primary Diagnosis Here based on Lesson Plan Topic)
Hemorrhagic stroke
A type of stroke that is caused by a ruptured blood vessel which in turn causes bleeding in the brain. The
part of the body in which the artery ruptured is damaged and can’t work properly.
Caused by a weakened vessel that ruptures and bleeds into the surrounding brain, the blood accumulates
and compresses the surrounding brain tissue.
Two main types:
Intracranial hemorrhages: bleeding occurs inside the brain
Subarachnoid hemorrhage: bleeding occurs between the brain and membranes
Causes (3 minimum)
Uncontrolled High BP
Trauma-head injuries
Blood thinners
Liver disease
Drug abuse
Sickle cell anemia
Blood vessel abnormalities
Signs & Symptoms (6 minimum)
Unilateral weakness
Decreased LOC
EKG abnormalities
Headache
Light sensitivity
Difficultly with speech
Fainting
Difficulty walking
Miranda Besecker
Rebecca St Hilaire
Kashawna Folks
Unilateral numbness
Sudden confusion
Changes in vision
Trouble seeing in one or both eyes
N/V
Stiffness in the head or neck
Fluctuation in HR and RR
Abnormal taste in mouth
Treatments: (3 minimum)
Treatment is determined by whether stroke occurred within the brain (intracerebral) or on the surface
(subarachnoid). For intracerebral blood pressure would be managed to decrease risk of more bleeding, if
pt on blood thinners reversal drugs will be given to restore clotting factors. For subarachnoid tx depends
on cause of the bleeding and how much damage was done to the brain. Pt will remain in neuroscience
intensive care unit for monitoring for bleeding, vasospasm, and other potential complications. Pain meds
given to alleviate headache; anticonvulsants given to prevent/treat seizures. If subarachnoid stroke is from
ruptured aneurysm, surgery may be performed to stop bleeding
Potential complications: (3 minimum)
Aphasia
Paralysis
Seizures