What is the minimum dose of aspirin required to prevent ischemic stroke?
1. Advise adult pt taking low dose aspirin not to take ibuprofen, it may reduce the cardioprotective & stroke preventative effects of ASA 2. Take with food or after meals due to possible GI upset
Can aspirin cause a stroke?
Stroke. Reduction in blood flow to brain characterized by neurological deficit. Neuro deficit lasts >24 hours and vascular in origin. TIA: "mini-stroke": less than 24 hours. 85% ischemic: embolic occlusion of large cerebral vessels. 15% primary hemorrhages: rupture of aneurysm of small vessels in brain. Affects 200,000 patients yearly.
Which medications are used in the treatment of stroke?
Aspirin (160-325mg every day) in patients not receiving thrombolytics; to start within 48 hours of stroke onset. Immobile patients DVT/PE prophylaxis with low molecular weight heparin or unfractionated heparin is recommended with use of compression devices or elastic stocking especially if anticoagulation is contraindicated.
How much aspirin should you take for heart disease?
-administration of heparin within 48 hours preceding the onset of stroke AND an elevated aPTT at presentation. LMWH in the past 24 hours. Novel oral anticoag in the past 48 hours-lumbar puncture or recent arterial puncture in previous 7 days
Why is aspirin ordered?
Call the health care provider to clarify the medication order. C. Aspirin is ordered to prevent stroke in patients who have experienced TIAs. Documentation of the patient's refusal to take the medication is an inadequate response by the nurse. There is no need to clarify the order with the health care provider.
What is aphasia in nursing?
Aphasia occurs with middle cerebral artery involvement. Cognitive deficits and changes in judgment are more typical of anterior cerebral artery occlusion. When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral atherosclerosis. a. to monitor and record the blood pressure daily.
Can a nurse administer aspirin?
Atrial fibrillation, dysphasia, and transient ischemic attack (TIA) are not contraindications to aspirin use, so the nurse can administer the aspirin. A 73-year-old patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis.
Is aspirin ordered for a right hemisphere stroke?
There is no need to clarify the order with the health care provider. The aspirin is not ordered to prevent aches and pains. For a patient who had a right hemisphere stroke the nurse establishes a nursing diagnosis of. a. risk for injury related to denial of deficits and impulsiveness.
Can a left sided stroke cause slurred speech?
Slurred speech is consistent with a left-sided stroke, and no change in therapy is indicated. A 47-year-old patient will attempt oral feedings for the first time since having a stroke. The nurse should assess the gag reflex and then.
Is a left sided brain stroke a sign of depression?
Depression after a stroke is common, but the suddenness of the patient's outburst suggests that depression is not the major cause of the behavior .
Can heparin be used for TIA?
Continuous heparin infusion is not routinely used after TIA or with acute ischemic stroke. The patient's symptoms are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not for TIA. A 68-year-old patient is being admitted with a possible stroke.