Lacunar Infarct Nursing Issues

Written by Tang Bo
Neurology
Updated on September 09, 2024
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Lacunar stroke is caused by the blockage of small blood vessels in our skull due to long-term risk factors such as hypertension, diabetes, or hyperlipidemia, leading to a stroke. Generally, the area of infarction is relatively small, typically less than 1.5 to 2 centimeters. Symptoms may or may not be present. In either case, the symptoms are usually mild and the prognosis is generally good. There are no special strict nursing requirements. If patients are active and can take care of themselves, they do not need special care. Furthermore, it is crucial to focus on secondary prevention, which is to prevent further occurrence of stroke, and to seek further treatment from a neurologist.

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How long does one need to be hospitalized for a cerebral infarction?

The duration of hospitalization for cerebral infarction varies from person to person, depending on the different conditions of the stroke patients, the different causes of the stroke, and the different treatment goals. Generally, the hospitalization time is seven to fourteen days. If the condition of the cerebral infarction is relatively mild, it is also possible to be discharged in five to seven days. However, for some patients with severe conditions, even those who are in a coma or have complications, the hospitalization time will be longer.

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Treatment of Cerebral Infarction

As society ages, the incidence of cerebral infarction is also increasingly higher, making rational treatment extremely important. Generally, the treatments for cerebral infarction include the following methods: The first point is intravenous thrombolysis, which is a very important treatment plan. If patients can reach the hospital within the thrombolysis time window and are assessed by a neurologist as having no contraindications, they can undergo intravenous thrombolysis treatment, from which many patients benefit. Second, with the advancement of medicine, some patients can also undergo interventional surgery for arterial thrombectomy. Third, the treatment for most patients mainly involves the use of antiplatelet drugs and statins. Additionally, medications that clear free radicals and protect brain cells are provided, along with scientifically-based rehabilitation training.

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How long can one survive after a stroke?

The lifespan after a stroke depends on the location and area of the stroke, the treatment received, and subsequent complications. Some patients with severe acute strokes are at risk of life-threatening conditions, and not everyone survives this acute phase. Those who do survive and enter the recovery and post-effects phases can extend their lifespan by controlling risk factors for stroke, delaying or preventing recurrence. Early rehabilitation, such as acupuncture during the early recovery phase, does not affect the normal lifespan in mild cases. However, recurrent strokes can shorten the lifespan, especially if complications like aspiration pneumonia occur afterward.

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Can people who have had a cerebral infarction eat mutton?

Patients with cerebral infarction can appropriately consume mutton, but it depends on the specific condition of each individual. It is advised that those in the acute phase with internal phlegm-heat refrain from eating mutton. However, during the recovery or post-stroke phase, if the patient is weak, malnourished, and shows symptoms of yang deficiency, consuming mutton is appropriate as it is warm in nature and can nourish the kidney and yang, and warm and strengthen the body. Nevertheless, it is important to consume it in moderation to avoid excessive internal heat.

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How is lacunar stroke treated?

Lacunar infarction is a cerebrovascular disease. For lacunar infarctions caused by arteriosclerotic atherosclerosis, the main treatment is to prevent recurrence of infarction and dislodged plaques that cause blockages. Therefore, it is necessary to initiate treatments like aspirin, antiplatelet therapy, and atorvastatin to lower blood lipids and stabilize plaques. It is also important to control risk factors such as high blood pressure, diabetes, smoking, as well as conditions like hyperuricemia and hyperhomocysteinemia.