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undergraduate thesis
Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja
2023. urn:nbn:hr:184:016680
Aščić, Valentina
University of Rijeka
Faculty of Health Studies
Karlovac University of Applied Sciences

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Aščić, V. (2023). Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja (Undergraduate thesis). Rijeka: University of Rijeka, Faculty of Health Studies; Karlovac: Karlovac University of Applied Sciences. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:016680

Aščić, Valentina. "Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja." Undergraduate thesis, University of Rijeka, Faculty of Health Studies; Karlovac University of Applied Sciences, 2023. https://urn.nsk.hr/urn:nbn:hr:184:016680

Aščić, Valentina. "Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja." Undergraduate thesis, University of Rijeka, Faculty of Health Studies; Karlovac University of Applied Sciences, 2023. https://urn.nsk.hr/urn:nbn:hr:184:016680

Aščić, V. (2023). 'Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja', Undergraduate thesis, University of Rijeka, Faculty of Health Studies; Karlovac University of Applied Sciences, accessed 13 November 2024, https://urn.nsk.hr/urn:nbn:hr:184:016680

Aščić V. Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja [Undergraduate thesis]. Rijeka: University of Rijeka, Faculty of Health Studies; Karlovac: Karlovac University of Applied Sciences; 2023 [cited 2024 November 13] Available at: https://urn.nsk.hr/urn:nbn:hr:184:016680

V. Aščić, "Pravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja", Undergraduate thesis, University of Rijeka, Faculty of Health Studies, Rijeka; Karlovac University of Applied Sciences, Karlovac, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:184:016680

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Metadata
TitlePravovremenost liječenja moždanog udara - od nastanka simptoma do početka liječenja
Title (english)The right tme for stroke treatment - from first symptoms to the begining of treatment
AuthorValentina Aščić
MentorErvin Jančić (mentor)
Committee memberDavor Horvat (predsjednik povjerenstva)
GranterUniversity of Rijeka
Faculty of Health Studies
Rijeka
GranterKarlovac University of Applied Sciences
Karlovac
Defense date and country2023-10-30, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract
Moždani udar je iznenadni neurološki poremećaj uzrokovan smanjenim ili potpunim prestankom opskrbe kisika i hranjivih tvari u određene dijelove mozga radi poremećene cirkulacije. Teška oštećenja mozga nastaju u kratkom period od 3 do 5 minuta koji se očituju ispadima ponašanja i funkcijama koji taj dio mozga kontrolira. Ovo neurološko stanje prema SZO dijelimo na dvije glavne vrste: ishemijski moždani udar i hermoragični moždani udar. Ovisno o mjestu nastanka moždani udar tako manifestira znakove i simptome, a klinička slika može uključivati afaziju, vidno-prostornu dezorijentaciju, hemiparezu/hemiplegiju i sl. Uz anamnezu i kliničku sliku, specijalist neurologije također radi daljnju obradu pacijenta (laboratorijske pretrage, CT/MSCT, MR, UZV) kako bi se isključila stanja slična moždanom udaru. Akutni ishemijski moždani udar liječi se intravenskom primjenom rtPa lijeka ili rekanalizacijom moždanih žila, a nerijetko se kombiniraju oba liječenja. Obzirom da intravenskom primjenom rtPa lijeka ima mali vremenski period (3-4,5h) od nastajanja simptoma, češće se radi rekanalizacija moždanih žila. Pacijent na kojeg se sumnja da ima moždani udar prevozi se u najbliži objedinjeni hitni bolnički prijem (OHBP), bilo da pacijenta doveze obitelj/skrbnici ili ga dovodi vozilo hitne medicinske pomoći (HMP). Kod primitka pacijenta u OHBP posao medicinske sestre/medicinskog tehničara počinje s procjenom pacijenta te mjerenjem vitalnih funkcija i monitoringom pacijenta. Po indikaciji liječnika, medicinska sestra/medicinski tehničar odrađuje daljnju dijagnostiku pacijenta (laboratorijski nalazi, CT itd.). Medicinska sestra/medicinski tehničar procjenjuje pacijenta s moždanim udarom te otkriva moguće prepreke do kojih može doći tijekom liječenja pacijenta. Cilj ovog rada je retrospektivna analiza podataka o ishodu liječenja pacijenata s akutnim ishemijskim moždanim udarom, te analizom podataka uvidjeti broj ispitanika prema spolu i dobi.
Abstract (english)
A stroke is a sudden neurological disorder caused by reduced or complete cessation of the supply of oxygen and nutrients to certain parts of the brain due to impaired circulation. Severe brain damage occurs in a short period of 3 to 5 minutes, which is manifested by outbursts of behavior and functions controlled by that part of the brain. According to the WHO, this neurological condition is divided into two main types: ischemic stroke and hemorrhagic stroke. Depending on the place of occurrence, a stroke manifests signs and symptoms, and the clinical picture may include aphasia, visual-spatial disorientation, hemiparesis/hemiplegia, etc. In addition to the history and clinical picture, the neurology specialist also performs further treatment of the patient (laboratory tests, CT/MSCT, MR, ultrasound) to rule out stroke-like conditions. Acute ischemic stroke is treated by intravenous administration of rtPa drug or by recanalization of cerebral vessels, and both treatments are often combined. Given that intravenous administration of the rtPa drug has a short period of time (3-4.5 hours) from the onset of symptoms, recanalization of brain vessels is more often done. A patient suspected of having a stroke is transported to the nearest emergency room (ER), either by the patient's family/caregivers or by an ambulance. When a patient is admitted to the ER, the job of a nurse begins with assessing the patient and measuring vital functions and monitoring the patient. According to the doctor's indication, the nurse performs further diagnostics of the patient (laboratory findings, CT scan, etc.). A nurse assesses a patient with a stroke and detects possible obstacles that may occur during the treatment of the patient. The aim of this work is to retrospectively analyze data on the use of thrombolysis in patients with acute ischemic stroke, and to analyze the number of subjects by gender and age.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:016680
Study programmeTitle: Professional study of nursing (Biomedicine and Healthcare; clinical medical sciences)
Study programme type: professional
Study level: undergraduate
Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-10-23 11:42:47