Stroke Nursing (CVA) Cerebrovascular Accident Ischemic Hemorrhagic Symptoms Treatment tPA

Stroke nursing NCLEX review (CVA) cerebrovascular accident lecture on ischemic and hemorrhagic strokes along with nursing care, tPA, symptoms, treatments, and pathophysiology.
A stroke occurs when blood rich in oxygen can NOT reach brain cells (due to either a blockage or bleeding) and the cells begin to die.
Types of stroke:
Ischemic (most common) is due to a blood clot within the blood vessel or stenosis of an artery feeding the brain tissue. This limits the blood that can reach the brain cells. This can happen due to:
-Embolism: where a clot has left a part of the body (example the clot has left the heart due to a heart valve problem or atrial fibrillation) and has travelled to the brain, which stops blood flow.
-Thrombosis: a clot forms within the artery wall within the neck or brain. This is seen in patients with hyperlipidemia and atherosclerosis
Hemorrhagic: there is bleeding in the brain due to a break in a blood vessel. There will be limited blood flow to the brain cells and this can cause excessive swelling in the brain from the leakage of blood in the brain tissue. A ruptured brain aneurysm or uncontrolled hypertension can cause this.
In addition, a patient can experience a TIA (transient ischemic attack) also called a mini-stroke. This is where signs and symptoms of a stroke last only a few minutes to hours and resolve. It is a warning signs an impending stroke may occur.
Stroke symptoms include: facial drooping, arm numbness or weakness, slurred speech or difficulty talking etc.
Treatment for stroke (specifically an ischemic type) is tPA (tissue plasminogen activator). This medication works to dissolve the clot that has caused th decreased blood flow. However, tPA must be administered within 3 hours of the onset of stroke symptoms.
Nursing care for stroke includes: monitoring vitals (especially blood pressure, respiratory status), watching and educating the patient with neglect syndrome (this most likely occurs with patients who've had a right brain injury), diet and swallowing techniques, hemianopsia, and how to communicate with a patient with aphasia (watch the video for more in depth nursing interventions for stroke).
Stroke NCLEX Questions: www.registerednursern.com/stro...
Notes: www.registerednursern.com/stro...
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[@RegisteredNurseRN]

Hello Everyone! Thank you so much for watching the video. I hope this helps with your neuro studies! Don't forget about: Quiz: www.registerednursern.com/stroke-cva-nclex-questions/ Notes: www.registerednursern.com/stroke-nclex-review/ More Neuro Videos: kzbin.info/aero/PLQrdx7rRsKfVPDxuXWcpmg42nNXdjA9FD

[@elionasadikaj7183]

RegisteredNurseRN Thank you so much! 😊

[@Azzoris]

Great work. Great presentation. You explain things in a easy to understand way, not full of medical jargon. keep up the great work

[@annmarie4853]

hi sarah just would like to thank u for helping me with my nclex pn exam...i just passed my lvn exam here in california and u helped me a lot..im forever thankful....by february next yr il be taking my rn exam (coz im a foreign graduate and i took the lvn exam first coz i didnt know before if i was eligible for an rn exam)....keep up the great work ! not all nursing students can afford nclex reviews here in the us....and u are making a great impact in our lives and loveones.... Godbless you

[@jennco3137]

RegisteredNurseRN Just in time for my final! Your videos are awesome!!

[@neerasharma8567]

Thank you Sarah for the video it's very informative...are you posting more on intracranial pressure and menengitis....and other neurological stuff...

[@michellehinich4983]

Memory trick for aphasia types: Wernicke's Area: "What did you say" Broca's Area: Broken Speech

[@bon4213]

I took my NCLEX-PN Exam on October 19th and passed. I watched many of your videos during my preparation. You simplify the most difficult concepts. You are surely blessed with a beautiful mind and I thank God for all you do. I will continue to watch your videos throughout my career as a medical professional.

[@janinay0766]

HI i'm a foreign nurse and just recently passed my NCLEX-RN (took the exam last dec.9) just wanted to say THANK YOU VERY MUCH FOR YOUR VIDEOS. I hope I could personally thank you it really helped me a lot because for one whole month of my review last November your videos accompanied me whenever I don't understand a certain topic. please continue making videos for you will surely be of great help to all the nurses across the globe.. i have recommended your channel to my friends who will take their exams too. you simplify every complicated topics in the nursing world. God bless you and more power! thanks again :)

[@RegisteredNurseRN]

Hello Janine RN!! Congratulations! I'm so very happy for you. THANK YOU for taking the time to come back and leave this comment. It is so awesome to hear these videos are helping people pass NCLEX. It truly makes my day. Thank you so much for this comment. It really made my day when I read it. Best wishes in your new career as a nurse :)

[@kearneyjohnl7]

I just became a neurology/oncology nurse not very long ago and this video helps me understand the neuro system a little better. As a nurse, you never stop learning! Thank you so much!

[@quadriciser]

This is true. There is always so much more to learn!

[@daomyalbizar947]

YOU ARE THE REASON I'M PASSING NURSING SCHOOL, AND I AM NOT EXAGGERATING!

[@Mi0006]

facts! Sara, RN has been teaching me since the beginning. Since LPN school

[@rajanaidu2617]

She is very good in teaching I too benefited by her videos

[@LSUWarlan]

My instructors are so boring sara really helps

[@vibhavasujnawali6055]

Even a good doctor and professor are not able to teach so clearly and simply like you do...an angel for medical professionals.

[@chipomudyiwa779]

You are really gifted. These lectures are clear and straight forward. You make nursing school a lot more enjoyable. Thumbs up.

[@denisaseitllari6473]

You're the reason nursing school makes sense

[@samuraisoul2]

Great video! I had my stroke 3 years ago. It left me with alexia, and hemianopia, among other gifts. Doing well these days and working very hard to prevent a repeat! I am so very thankful to the fantastic nursing staff that cared for me at the ER and in the hospital proper. Thanks for all you do!

[@maryanthony9856]

I should be paying you my tuition. Thank you for your videos!

[@ajokeurediya6573]

Sincerely

[@islamicsolution5618]

@@ajokeurediya6573 ❤

[@shadaepusey4255]

Yep 😭

[@mariao434]

Send it to her she'll not refused it😄😁 But kidding aside I would really love to send her a gift. But don't know if she'll agree or accept it and or gave us an address🥰

[@selene8138]

Agreed

[@Flamy999]

I always said I was going to write this and here is my chance. I just want to say thank you for all the wonderful, organized, and detailed videos you have posted that have helped me throughout my nursing career as a student. Tomorrow is my pinning ceremony (YAY!) Class '19! and I just want to thank you for being apart of my journey with all that you do and will continue to do Sarah! I have never in my nursing career found anyone who could break down and explain Medsurg topics the way you do! You are the best!

[@yemialemu9902]

I agree 100% she's a blessing to all of us!

[@byxandreabyx]

You are truly molding future nurses all over the country & world. I am SO grateful for you, your channel, and for making your content so accesible to us all. Thank you Sarah!

[@generationx9294]

I'm a "fit and acitve" 52 year old woman who just had my 2nd stroke less than 2 weeks ago. My first one was an eye stroke in 2009. This time I was diagnosed with PFO among other things.. and still pending. Many follow ups to come. This is not my first rodeo being sick. I have stage 3 CKD, I had stage 3 cancer in 2005.. the list goes on, despite me being extremely proactive in my self care for decades. This is very interesting to me and extremely easy to understand and follow. I've watched many of your videos. You have a gift and are truly an asset to the world. You're a gem.💎 Thank you! ❤🙏🏽

[@igonzalez4319]

I’ve been a nurse for a while and I pretty much know most of this, your videos helped me immensely back when I first started but I still go back every now and then just to listen to that wonderful accent

[@jessica41996]

I have the worst MED-SURG Instructor doesn't teach us a thing! So Thankful I found your channel!

[@cindysmith2283]

Sounds like our awful instructor!

[@ashleytodd3253]

I know you have heard this more times then I can count....but I wouldn't be passing nursing school without you. Truly. You have a gift. Thank you from all of us, fellow nursing students. Love and hugs from Texas!

[@handymanird1632]

Sarah did a fantastic job walking through the entire stroke session, very through and comprehensive. Thank you so much! Very helpful

[@sarahtiglao3131]

I’m a foreign nurse USRN working in ED and I still watch your videos. Thank you for your videos ❤️

[@meganbrown6506]

Passed my NCLEX in 76. Thank you so much for all of your videos and hard work😍😍

[@asidzietror4376]

Wow, thank you so much for this video. I just asked for a lecture on neurological disorders about a week ago, and you actually did it. Thank you so much. God should continue to richly bless you!!!! THANK YOU.

[@a.k.9449]

You are the best; some physicians may know their job but cannot teach like you do. Thank you very much for a great job. I encourage all nureses to watch your videos if they want to improve their knowledge. 🙏🙏🙏😍

[@hj4458]

Serah I'm from Bethlehem- everyone I meet at my town, Palestine or Isreal. I tell them about you. Just to let you know, you became very popular here, and we LOVE you SO much. You are RARE. Blessing

[@michaelbernard3086]

We support you here from Philippines. Filipinos love your lectures.

[@venshaw9005]

This nurse is so Bless , I love all her videos , the way she explain herself 🥰🥰🥰 .Big up yuhself mi nurse 🇯🇲🇯🇲🇯🇲

[@baboon500]

I am a pharmacy student. Your videos helped me last semester on my group project on heart failure/pulmonary edema. This semester my project is on afib/stroke/seizures. Thank you very much. Bless

[@ElShaddai904]

I never comment on videos. But I must tell you how much I appreciate all your help!!! I love all your videos. You are honestly a nursing Savior.

[@RAJESHSONI-yk4fg]

Good

[@sasharamos6112]

God bless you Sarah!!! You have no idea how amazing you are and how you have blessed many of us with your straightforward explanation on topics that can be so overwhelming. I wish I knew about these videos in my undergraduate nursing school years. I have been an RN for 6 years and now am in graduate school and will be graduating in May of 2019 with my masters in Family Nurse Practitioner and I love reviewing your lectures since it refreshes my memory. Again thank you so much!!!!

[@lalavargo]

Thank you SO MUCH! I've just completed my nursing training (whoo hoo) and I'm about to start my new nursing job at an amazing hospital, doing the nursing rotation programme and I've just found out I'll be on a stroke ward. I really needed this 🙌. You have been such an amazing help over these last 3 years, you'll never really know how much you are appreciated. All the work you do and put in. With all my heart, thank you so much x

[@bonmiya5448]

I'm a student nurse from South Africa... Your videos are so helpful, you explain all conditions so well and make it so much easier to understand. Thank you!

[@profheadramnandanprasad9137]

I was listening to refresh my memory,I can say you are my Guru. You must me knowing meaning of Guru. Thanks a lot.

[@baesicmonii]

If only my instructors taught this way. They go over 65+ PowerPoint slides that explain nothing. 😩 Thank you for these videos !

[@vsamoylich]

Thank you so much for all your videos!!! I've been using them all throughout nursing school! Currently, I do SO MUCH BETTER on exams in medsurg when I include watching your content as part of my studying!

[@KeithRN]

This video came at a perfect time. I take my SCRN exam in January. This served as a basic review to go along with my other study material. I have been watching you since nursing school and have never been disappointed. Your videos are great!

[@lateishapacr1626]

Hi I am a junior in nursing school and we are going over neuro. I was so confused until I watched your video, they are EXTREMELY HELPFUL AND EASY TO UNDERSTAND AND COMPREHEND THANKS FOR ALL YOU DO

[@nawu-arnold1251]

Thank you so much for doing this! Every time when we cover a new topic, I come here and search for your videos and it is so helpful! I recommended to all my nursing friends!

[@dipsanadangal6109]

Your lectures are just amazing, turns out they are not as boring as our lecturers tend to make it. I don't know maybe it's the simple words that you use to describe complex phenomena. I'm in my 2nd year of nursing and I credit you for everything I've learnt. Keep up the good work. PS: Quizzes are the best.

[@tenzinchoekyi8761]

You are a blessing in disguise. Thank you for being an awesome teacher and love all your video. I passed my med-surg 1 because of you. So, thank you again and bless your heart.

[@madelynrpoer6700]

You are AMAZING. Seriously - thank you for all the time you put into these videos. They've made such a difference, not just helping me know disease processes, but also helping me understand how to think as a nurse and what information is important to focus on. I've recommended you to many of my nursing friends and I'll continue recommending you until the freaking apocalypse. You. Da. BOMB!

[@tania0322]

I am in 4th semester out of 7. I am studying for finals (med surg2 and pharm2). Your videos are a great help to me and my classmates. You explained everything we need to know. Thanks for taking the time to do this for you and not charging anything. God will pay you.

[@healthyThinking384]

I am a registered nurse here in the Philippines and also aspiring to be an USRN. Looking forward to taking the NCLEX and your videos certainly will help me with my review. I hope someday I can fulfill my American dream to work in your Country.

[@annaappel2852]

I like how youre doing these videos now with the typed inserts and diagrams!! Love from a nursing student in Canada!

[@tonym6920]

Wow, what a great presentation Sarah. I really liked the slides you put up on the screen, very nice addition. You certainly have your hands full with stroke patients. I cant imagine how exasperating that must be for the patient. I take Eliquis 5mg twice daily due to an aFib event back in August. So when you mentioned that TPA could not administered with recent use of anticoagulants my ears perked up! lol Great job Sarah!

[@bilqiis9099]

Hello Sarah, I am a Registered Nurse too from UK, I look after stroke patients and was very excited when you uploaded this video, I am a fan. To be honest, it is very rewarding at the same time it can be very stressful and heavy at the same time looking after stroke patients. Our system is same as yours we also do thrombolysing depending the type of the stroke as you mentioned and we have a 4 hour window. I am planning to go back to uni to get my masters degree as Advanced Nurse practitioner. Thank you again thumbs up.

[@tazmanianrhonda8040]

You are a rock star! I have been watching your videos since I started nursing school. You make everything so easy to understand!! Also, if I'm ever hospitalized, I hope my nurse is as thorough as you are!

[@krismalone578]

OMG you literally are an angel from above! I have my patho exam in a week and my professor said we had to know about Strokes! Crying tears of joy!

[@inokachandrasena1846]

Wow you have explained everything in easy way and your teaching skills are superb.

[@samathaparrish1371]

You are a gift that keeps on Giving!!!! May God bless you and Keep!!

[@josephdilorenzo5314]

Thank you so much teacher. Your expertise is phenomenal. Can't thank you enough. God Bless you.

[@boniciajohn2412]

Thank you very much.your videos has helped me so much in nursing school continue to make these videos they are very helpful

[@tewesk]

Thank you Nurse, I am an interpreter and finds this very useful for my profession, as It helps me to have a general understanding of the condition and terminologies that are used with it. Thanks!

[@annegichuhi6820]

The best nursing teacher ❤

[@firstladygloria7854]

You are simply amazing! Thank you and God bless.

[@teeluvinme3]

8 months left in nursing school and you are helping me every step of the way! Thank you! #FutureRN

[@tamarajackson9430]

Thank you for getting me through nursing school ❤

[@marissabuzby2680]

This was my first time using your videos to help me study and I got my best test grade yet! I love your videos and will definitely continue to watch and recommend to all of my nursing friends. Thank you so much!!!

[@oluremicole2286]

Well done. You're deeply appreciated. Loves everything you taught. You're gifted and thanks for impacting lives for success.

[@robynconnelly8796]

You are so amazingly helpful! thank you so much it is honestly enjoyable watching your videos! simple terms but still so very helpful and visual! love your channel :)

[@Melii0302]

Hi, love your videos they have helped me so much. I was wondering if you had any videos on seizures, it would be a great help. Thanks again for all you do. God bless you!

[@emilylabitzke4892]

Thank you Sarah so much for all of your videos! These help me so often to cover additional material that instructors aren't very detailed on! You simplify things so well! So glad I found your site a while back!

[@franciscanishagomes3944]

Thanks sister for the lovely video as you have given a lot of information about the brain and it's functions and disfunstions. I knew about the parts and functions but I didn't know about the disfunctions.. When and why they occur. I have noted down all that you said to refer in the future. Thank you very much again dear. Take care.

[@mutatyasolomon4211]

Making difficult simple effortlessly...... she's amazing!!kudos Sarah.

[@staceyodero7106]

I love your videos.......you have really helped me with my revision since 2019.....when I graduate my degree goes to you. love Stacey

[@sawsan7292]

Next week I have an exam and I saw your explanations and that really help me to understand defficult concepts

[@trishcrew7523]

Thank you for all of your videos. You are a great teacher!!!

[@wendycai7659]

I agree with you.

[@pebblezz1966]

My mom had a big major stroke on 1/16/22 the doctors said she isn’t getting better she getting worse! She lost her speech and walk. Sadly I have to let her go! 😢😢😢😭😭😭😭😭The doctors said she is getting worse! Jesus help me because I Hate seen her in pain She will eventually pass away God this is horrible 😭😭😭😭

[@Sherirose1]

Thank you so much. I hope I can find a video of yours showing how atherosclerosis leads to hypertension.

[@brendacurrier9650]

You are an angel. Like seriously. I feel like I need to send you a gift when I pass the NCLEX.

[@susmitatimilsina801]

U r my teacher now..i subscribed

[@zakariafaris-howes8432]

Facts

[@sonamdechey664]

Thank you so much for your efforts to help all the nurses worldwide. You are my inspiration

[@vviperbeehumble1410]

The only person who means anything to me in nursing school......May you always get ur hearts desires

[@anasc5904]

You make anatomy and pharmacology very interesting.

[@penguinshoes7928]

I love your videos. I do know enough relative to this one to produce my own lecture. Some stroke patients may have smaller areas of visual deficits which may preclude them from driving, leaving enough of a minor blind spot to pose an accident risk. Smoking and oral contraceptive use=16x stroke risk. It is possible to see a user of both have a stroke in their 20s. A layer of the arterial wall is made of collagen and elastin. You need vitamin C for collagen fibers to stick together. Smoking depletes vitamin C, as well as damaging the endothelial layer. Cholesterol patches the potholes, and calcium will smooth the bumpy patch job, reducing elasticity while blocking blood flow.

[@MsUrtado]

Thanks so much videos , because that are prepared for Nclex . I am BrasilIan nurse . I can immigration from USA . This is dream , so that is great nurse lessons . Here we copying a lot guide line and protocols. She is good coach

[@wenardrizabal9122]

I'm planning to take BSN this school year and it would be great and awesome that there's a perfect youtube channel for me to learn easily. Thank you for your comprehensive teaching videos!!!

[@TheCoilWhisperer]

You are nothing but a rockstar. Your through vids are helping me so much! Blessings!!!

[@keiththompson9773]

My father have a hemorrhagic stroke in December 2006 he is 77 years old in on Christmas Day.. He has a high cholesterol and other health problem too.. I missed my father since in March 14, 2014.. He was in his 80's . He was 84 year old passed away..

[@pfumelaniolipachauke4561]

I am a Medical student and your videos really help me so much, thank you. Dont stop😍

[@stayhappywithpremprakash.3758]

I like ur way of teaching ..

[@Rotten.Apples]

You explained it so well. Thank you so so much!!!!!!

[@May-zm3ul]

My whole class will love a video on spinal cord injury...please please please....and thank you 😊.

[@105C09]

Fantastic review. Not only are you brilliant, you have the valuable communication skill that relates to your audience adult to adult. Bless you.

[@lilianonsarigo1292]

you have made my nursing school a walk in the park.

[@einysantos8684]

I love your videos. You explain everything very well. I love the visual learning and all the mnemonics, they help so much. One thing I do think you should upload on it just pharmacology. It's so hard to wrap my head around and can't seem to get it down.

[@nichailJm1]

Einy Santos I just finished pharm with an A.

[@leepetty6682]

I had a severe hemmoragic stroke 6 years ago

[@supernightslash]

I was SO LOST has to how to even approach studying for my NCLEX, but you've helped so, so much!!! Thank you so much!!!

[@ankitathakur4851]

I wish you were my lecturer 😍 Thank you so much😀😀 Your lectures and notes are so helpful and covers every single thing and the quiz questions are also very good😊 Thank you again.. You are just a brilliant teacher😀

[@minelamalic9971]

YOU ARE THE BEST! THANK YOU for all of your videos.

[@okydokey4126]

THAN YOU VERY MUCH FOR THIS COMPREHENSIVE VIDEO. I HAD A RIGHT SIDED STROKE ALMOST 4 YRS AGO. I was a nurse for 22yrs. in 1995 I blew out discs in my neck and lumbar, then developed cfids and fibro. In ALL symptoms I developed ,occasionally falling, loss of balance I attributed to deconditioning. well I am 67 yrs old I am hoping to get some more help. thank you for this information

[@rn-mhpkipchirchirstephen.]

Thank you so much... Your Lecture are all awesome. I believe am Going To pass my Exams..

[@jollymathew2855]

Thaxs lot for your valuable knowledge sharing to public. The way u bring it out is easy to understand not only fpr people from medical foeld bit also non mead field. God bless u.

[@markfisher6107]

Sarah: These are extremely informative and well presented. Thank you very much for making these available Mark Fisher EMT, National Ski patrol

[@lizn9290]

You really helped me get through my RN program. Thanks Sara

[@Pascaline240]

Wauuuh ,I feel like I’m in class now ❤❤very informative

[@jessicabickley6341]

Thank you so much for these videos, Sarah!

[@valentineplazajr.1379]

you're my savior in my study for NCLEX nice job

[@colleenpurdy1588]

You posted this right on time! Neuro test on Monday morning!!

[@Farhadmusic29]

Most complete Lecture... thank you very very much.

[@sheridansarsonas]

Thank you! This is going to help me with my lab test today

[@aim2975]

Thank you for your efforts.