Stroke HAEMORAGIK

A. Understanding

Stroke in general is a neurological deficits that have sudden attacks and lasted 24 hours as a result of disruption of the blood vessels of the brain (Hudak and Gallo, 1997)

Stroke is used to name or hemiparalisis hemiparese syndrome caused vascular lesions, who suddenly do not receive the blood brain regions because these regions memperdarahi arteries clogged, broken or cracked.

B. Stroke HAEMORAGIK

Is part of the classification of stroke, where intra-cerebral hemorrhage and may be sub-arachnoid hemorrhage caused by rupture of blood vessels of the brain in certain areas. Genesis usually while doing the activity, it may also be at rest and patient awareness of generally declining.

C. Pathophysiology

D. RISK FACTORS

Hypertension, smoking, heart disease, especially artrial fibrillation, cerebral aneurysm, aterosclerosis, previous stroke or TIA, diabetes, polycythemia, elderly

E. CLINICAL SYMPTOMS

· Sudden headache

· Paraesthesia, paresis, Plegia some agencies

· Dysphagia

· Aphasia

· Impaired vision

· Changes in cognitive abilities

F. EXAMINATION SUPPORT

· CT Scan: Haemoragi: sub-dural, sub aracnoid, intra-cerebral. Edema, ischaemia

· EEG: Identify areas of lesions and electric wave

· Angiography: Haemoragi, arterial obstruction, occlusion and rupture

· MRI: infarction, hemorrhage, arterial venous disorders

· Lumbar Punksi: In Sub-arachnoid haemorrhage and intra-cerebral spinal fluid cerebro

blood containing

G. Management of

1. Acute Phase:

· Maintain vital functions: airway, breathing, and circulation oksigenisasi

· Reperfusion with trombolityk or vasodilation: Nimotop

· Prevention ICT improvement

· Reduction of cerebral edema with diuretics

2. Post acute phase

· Prevention spatik paralysis with antispasmodik

· Fisiotherapi Program

· Handling psychosocial problems

H. ASSESSMENT OF MAIN Nursing

· Monitor vital signs

· Monitor level of consciousness

· Assessing the elimination function

· Assessing the existence of involuntary movements

Assessing the ability of ADLs ·

· Assessing the ability of muscle movement

I. DIAGNOSIS

· Headache associated with cerebral vascular disorders: cerebral hemorrhage

· Disorders perfuisi brain tissue associated with cerebral edema

· Self care deficit associated with partial paralysis

· Impaired physical mobility related to the physical weakness / motor

· Constipation associated with impaired sensory motor

· Anxiety associated with lack of knowledge about the disease and its treatment

· Risk of disruption of skin integrity related to the lack of body movement