Ensure adequate fluid and electrocyte balance.
(a) Fluids may be restricted in an attempt to reduce intracranial
(b) Intravenous fluids are maintained until patient's condition stabilizes,
then nasogastric tube feedings or oral feedings are begun depending upon patient's
Antibiotics, if necessary.
(e) Sedatives and tranquilizers are not given because they depress the
respiratory center and obscure neurological observations.
(8) Maintain adequate elimination.
(a) A Foley catheter is usually inserted during the acute phase; bladder
retraining is begun during rehabilitation.
(b) Provide stool softeners to prevent constipation. Straining at stool
will increase intracranial pressure.
(9) Include patient's family and significant others in plan of care to the
maximum extent possible.
(a) Allow them to assist with care when feasible.
(b) Keep them informed and help them to understand the patient's
f. Rehabilitation of the Patient after a Cerebral Vascular Accidents.
Multidisciplinary team is most frequently utilized.
(2) Process of setting goals for rehabilitation must include the patient. This
increases the likelihood of the goals being met.