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  Neurology
 
  Education Informations

Cerebral Vascular Accident

Introduction
The cerebral vascular accident (CVA ) is the most common disease of nervous system, commonly called as " Stroke ", its characteristic is a brain a blood vessel blocks or breaks , ones that cause the brain lack the blood supply and damage . This disease is still the second in ten major causes of the death so far. Generally speaking, 60-75% of the stroke is the people in the age over 65.

Subtypes
¡¹ Thrombotic Stroke
¡¹ Embolic Stroke
¡¹ Intracranial Hemorrhage
¡¹ Subarachinoid Hemorrhage

Treatment Medical Treatment
¡¹ Anticoagulant agent¡GHeparin sodium, Warfarin sodium, etc...
¡¹ Antiplatelet agent¡GAspirin, Dipyridamole, Ticlopidine, etc...
¡¹ Osmotic agent¡GMannitol, Urea, Glycerol, etc...
¡¹ Cortical steroid¡GDecadron
¡¹ Thrombolytic agent¡Grt-PA Surgical Treatment
¡¹ Endarterectomy
¡¹ Craniectomy Nursing
¡¹ Observe the vital sign
¡¹ Evaluate motor and sensory function
¡¹ Keep the body fluid balanced and suitable nutrition
¡¹ It is safe to pay attention to patients
¡¹ Show loving care for patients
¡¹ Avoid complications
¡¹ Arrange Rehab programs

Rehabilitation Early Rehabilitation, can shorten the recover time , will increase the probability that the function will be replied. Starting rehab programs when patient's state of illness condition is steady. Generally speaking in first several months after the stroke is that functions resume most obviously, and it is to prevent the deformity or damage of speech, cognitive and motor functions. Help patients to collect independent ability, social activity and interpersonal relationships again. Achieve the goal of resuming daily life to look after oneself.


Dementia

Introduction
The dementia is a kind of good hair in the elderly's clinical disease group, the main symptom is that the memory fails, and follow the obstacle of the cognitive function of a brain at least, may be just slight in initial stage to forget, the things can not be found or misplaced, not very consistent and will cover some wordings or movements again before and after speaking, gradual, failing more and more serious of memory, there are obstacles , walk out of one's home and will get lost on judgement , abstract thinking , computing capability, know too individual character change, what has been had a very good temper originally person, becoming temperish, about half the patients have behavior with unusual spirit, such as vainlying hope , illusion , anxiety , swimming to go , sleep-disorder somnipathy , melancholy or act of violence ,etc.

Causes of Dementia
¡¹ Degenerative disease¡GAlzheimer' s Disease
¡¹ Cerebral vascular disease
¡¹ SDH
¡¹ Brain Tumor
¡¹ Hypothyroidism
¡¹ Depression
¡¹ Parkinson disease
¡¹ Infection disease

Symptoms
¡¹ Memory fails and influences the routine
¡¹ Think abstractly it has difficulty in
¡¹ Unable to do well to the affairs that were familiar with in the past
¡¹ It is in disorder that the things are put
¡¹ Disturbance of speak and express
¡¹ The behavior and mood changing
¡¹ Lose concept of the time and space
¡¹ The individual character changes sharply
¡¹ The judgement and alertness become bad
¡¹ Lose the interest to life and things

Treatment
The treatment of Dementia is according to it's causes. We should find out the cause first and then treat to the ill. For Alzheimer's disease, we can treat with Tacrine, Rivastigmine or Donepezil clinically.

Nursing
¡¹ Effective communication and understanding
¡¹ Comfort and security of the environment
¡¹ Pay attention to patient's behavior
¡¹ Notice personal hygiene and daily life activities

 

Hsin Chu General Hospital, Department of Health, Executive Yuan, R.O.C. All Rights Reserved
Address: No.25, Lane 442, Sec. 1, Jingguo Rd., Hsinchu City 300, Taiwan (R.O.C.)
Tel:(03)5326151 Registration tel :(03)5330654