Name And Student Number (Bolded)Course, Semester, Year | SITI ROHAIDA BINTE RAHMAT12B057ZADVANCE DIPLOMA IN NEUROSCIENCE, 2012 |
Managing Client with Cerebrovascular Disease
Introduction
Stroke is a part of a cardiovascular disease that occurs when the supply of blood or oxygen to the brain is disrupted by a blockage in the artery or when there is usually a trauma that causes spontaneous bleeding in the brain (Duncan, Zorowitz & Lambert, 2005).
Bleeding in the brain, is referred to as a haemorrhagic stroke which results from either ruptured blood vessels or due to an abnormal vascular structure such as arterio-venous malformation.
Although stroke can be classified into two different categories (ischemic and haemorrhagic), one should note the indispensable relationship between the two. This would be later explained at a greater detail into the case study. The following would be a brief introduction of my chosen case study.
Emergency Department
A 22 year old gentleman was brought to the Emergency Department at 1235hrs on 28th October 2012 via ambulance. Patient was unresponsive upon arrival, GCS= 3, E1V1M1, bilateral pupils non-reactive to light and slight epistaxis noted.
History obtained from eye-witnesses stated that patient just finished boxing practice and complained of severe giddiness before fainting shortly after and never regained consciousness.
On arrival at Emergency Department, patient was sent for a CT (computed tomography) Brain with chest and cervical spine X-ray followed by a swift intubation at 1315hrs. Patient, as per trauma protocol, was nursed on cervical collar although no cervical fracture was detected. CT Brain showed a right frontal temporal bleed suggesting a possible intra-cranial haemorrhage along with subfalcine herniation. Intra-cranial haemorrhage is defined as bleeding within the skull or cranium (Barker, 2008).