NURS305 Lecture Notes - Lecture 11: Thrombus, Paresthesia, Combined Oral Contraceptive Pill
Document Summary
Many patients with stroke have decreased cardiac reserves from the secondary diagnoses of cardiac disease. Adjusting fluid intake to the individual needs of the patient. Monitoring lung sounds for crackles and rhonchi (pulmonary congestion) After stroke, patient is at risk for deep vein thrombosis. Related to i(cid:373)(cid:373)o(cid:271)ilit(cid:455), loss of (cid:448)e(cid:374)ous to(cid:374)e, a(cid:374)d (cid:373)us(cid:272)le pu(cid:373)pi(cid:374)g i(cid:374) leg. Most effective prevention is keeping the patient moving. Prevention of joint contractures and muscular atrophy. Paralyzed or weak side needs special attention when positioned. Avoidance of pulling the patient by the arm to avoid shoulder displacement. Compounded by patient age, poor nutrition, dehydration, edema, and incontinence. Pressure relief by position changes, special mattresses, or wheelchair cushions. Position patient on the weak or paralyzed side for only 30 minutes. Patients may be placed on stool softeners. Nutritional needs require quick assessment and treatment. May initially receive iv infusions to maintain fluid and electrolyte balance. Test swallowing, chewing, gag reflex, and pocketing before beginning oral feeding.
