Hemorrhagic Strokes Hemorrhagic strokes cause neurological deficit due to the pressure of the excaping blood on the surrounding tissue. The expanded volume increases intracranial pressure and puts pressure directly on cerebral cells and vessels. The formation of a clot further increase the pressure, decreasing the blood supply and oxygen content available to cerebral tissue leading to cellular anoxia and cell death. Precipitating factors include vascular malformations, aneurysm, trauma, hypertension and clotting disorders. Clinical presentation in stroke patients varies.
Nursing care is ained at airway maintenance and prevention of complications.
The two most common types of hemorrhagic stroke are subarachnoid hemorrhage and intracerebral hemorrhage. Many of the symptoms are similar to meningitis and these two conditions must be differentiated. Vasospasm is the most common complication and usually develops 4-14 days after the stroke. Rebleeding is the other major complication. Intercerebral Hemorrhage Intercerebral hemorrhage refers to bleeding within the brain tissue.