Assessment for CVA -
- Assess findings depending on area of brain affected
- Airway patency assessment is priority
- Assess pulse ( slow and bounding) , blood pressure
(hypertension) , respiration (Cheyne stokes)
- Assess for nausea , vomiting and headache subjective data
- Nuchal rigidity should be assessed
- Change in level of consciousness by Glasgow coma scale
- Assess signs of increased intracranial pressure.
- Assessment of cranial nerve V, VII, IX, X,XII
- Ask about difficulty with chewing
- Ask about familiar objects such as places he visited before ,
materials etc to assess for agnosia
- Ask if able to sense heat , pressure and cold as chances of
decreased sensation
- Ask about inability to stand properly due to altered position (
proprioception alterations)
- Ask about visual field if had to tilt head to view half other
field due to hemianopsia
- Assess facial paralysis , also ask about existence of paralysed
side ( neglect syndrome - patient unaware of paralysed side)
- Assess for impaired toungue movement, ataxia , dysphagia ,
dysarthria in stroke assessment.
Neurological assessment has included assessment of level of
consciousness , signs of increased ICP and assessment of cranial
nerves . CN V - for difficulty chewing , VII - facial paralysis, IX
and X - dysphagia , IX - Absence gag reflex , XII - impaired tounge
movement.
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