Saturday, October 13, 2012

Ineffective Cerebral Tissue Perfusion related to CVA - Stroke

Nursing Diagnosis for CVA - Stroke: Ineffective Cerebral Tissue Perfusion  related to inadequate cerebral blood supply, occlusive disorder, hemorrhage, cerebral vasospasm, cerebral edema

Goal: Maintain adequate cerebral tissue perfusion

Evaluation Criteria:
a) Maintain the level of awareness
b) stable vital signs
c) No increase in ICT

a) Monitor / record neurological status
b) Monitor vital signs
c) Evaluation of the pupil, record the size, shape, equality and reaction to light
d) Put the head with a slightly elevated position
e) Maintain a state of bedrest.

No comments:

Post a Comment

Search This Blog