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
Intervention:
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.
Goal: Maintain adequate cerebral tissue perfusion
Evaluation Criteria:
a) Maintain the level of awareness
b) stable vital signs
c) No increase in ICT
Intervention:
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.
