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Dionne Rachal, NURSE PRACTITIONER

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Specializes in: Vascular Neurology and Family Medicine

Professional interests include: stroke

1220 Barataria Boulevard
Marrero, LA 70072

(504) 340-6711

Dionne Rachal, NURSE PRACTITIONER is a nurse in Marrero, LA specializing in vascular neurology and family medicine. Dionne Rachal, NURSE PRACTITIONER is affiliated with Ochsner Health, Ochsner Medical Center, BELLE CHASSE EMERGENCY GROUP LLC and BELLE CHASSE PHYSICIAN SERVICES LLC.

Office Locations

Address:

1220 Barataria Boulevard
Marrero, LA 70072

Address:

1514 Jefferson Highway
New Orleans, LA 70121

Some issues Dionne Rachal, NURSE PRACTITIONER can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

doctor visit	28

**Ethnicity**
Non-Hispanic White	16
Black	15
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	14
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	35
Dementia	0
Cancer	0

doctor visit	16

**Gender**
Male	11
Female	14

**Age**
From 65 to 74	12
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	56
Dementia	0
Cancer	0

doctor visit	10
emergency care	29

**Gender**
Male	42
Female	66

**Ethnicity**
Non-Hispanic White	0
Black	78
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	50

Hypertension	70
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	22
Depression	24
Chronic Kidney Disease	33
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	35
Dementia	0
Cancer	0

emergency care	36
hospital care	226
inpatient care	79
outpatient care	147

**Gender**
Male	62
Female	111

**Ethnicity**
Non-Hispanic White	0
Black	96
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	30
85 and over	27
Less than 65	69

Hypertension	75
High Cholesterol	62
Stroke	13
Ischemic Heart Disease	46
Depression	41
Chronic Kidney Disease	61
Asthma	29
Osteoperosis	9
Atrial Fibrilation	15
Heart Failure	42
Chronic Obstructive Pulmonary Disease	24
Diabetes	46
Dementia	25
Cancer	8

**Gender**
Male	14
Female	19

**Ethnicity**
Non-Hispanic White	0
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	14

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	45
Depression	0
Chronic Kidney Disease	58
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	39
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	36
Cancer	0

emergency care	10
hospital care	14
inpatient care	15

**Gender**
Male	24
Female	25

**Ethnicity**
Non-Hispanic White	0
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	17
From 75 to 84	0
85 and over	0
Less than 65	17

Hypertension	75
High Cholesterol	69
Stroke	53
Ischemic Heart Disease	43
Depression	29
Chronic Kidney Disease	53
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	31
Chronic Obstructive Pulmonary Disease	24
Diabetes	51
Dementia	22
Cancer	0

emergency care	35

**Gender**
Male	21
Female	32

**Ethnicity**
Non-Hispanic White	0
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	26

Hypertension	66
High Cholesterol	43
Stroke	30
Ischemic Heart Disease	0
Depression	32
Chronic Kidney Disease	36
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	28
Chronic Obstructive Pulmonary Disease	0
Diabetes	43
Dementia	0
Cancer	0

hospital care	27
outpatient care	28

**Gender**
Male	22
Female	37

**Ethnicity**
Non-Hispanic White	0
Black	31
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	21
From 75 to 84	0
85 and over	0
Less than 65	17

Hypertension	75
High Cholesterol	68
Stroke	27
Ischemic Heart Disease	49
Depression	41
Chronic Kidney Disease	61
Asthma	0
Osteoperosis	0
Atrial Fibrilation	20
Heart Failure	46
Chronic Obstructive Pulmonary Disease	24
Diabetes	44
Dementia	24
Cancer	0

Average Medicare Procedure Volume From 2013 - 2020

Volume of procedures performed by Dionne Rachal, NURSE PRACTITIONER for Medicare patients.

The highest averages for the top procedures that Dionne Rachal, NURSE PRACTITIONER treated as a nurse in Marrero, LA were hospital care, outpatient care, inpatient care and emergency care.

doctor visit	18
emergency care	27
hospital care	89
inpatient care	47
outpatient care	87

Average Medicare Patient Data From 2013 - 2020

Information about Medicare patients treated by Dionne Rachal, NURSE PRACTITIONER.

**Gender**
Male	19
Female	30

**Ethnicity**
Black / African American	31
Asian / Pacific Islander	0
Non-Hispanic White	1
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	2
75 to 84	3
Less than 65	19
65 to 74	11

Average of Total of Conditions of Medicare patients treated by Dionne Rachal, NURSE PRACTITIONER From 2013 - 2020

The highest averages of the most common conditions of Medicare patients that Dionne Rachal, NURSE PRACTITIONER treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	58
High Cholesterol	45
Stroke	12
Ischemic Heart Disease	20
Depression	16
Chronic Kidney Disease	30
Asthma	2
Osteoporosis	0
Heart Failure	18
Chronic Obstructive Pulmonary Disease	7
Diabetes	34
Atrial Fibrillation	3
Dementia	10
Cancer	0

Education & Training

She is certified by the American Academy of Nurse Practitioners - Nurse Practitioner American Nurses Credentialing Center - Nurse Practitioner and has a state license in Louisiana.

Board Certification: American Academy of Nurse Practitioners - Nurse Practitioner American Nurses Credentialing Center - Nurse Practitioner

Licensed In: Louisiana

Affiliations & Hospitals

Dionne Rachal, NURSE PRACTITIONER is associated with these hospitals and organizations:

Ochsner Health

Ochsner Medical Center

BELLE CHASSE EMERGENCY GROUP LLC

BELLE CHASSE PHYSICIAN SERVICES LLC

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General Payments

These charts describe general payments received by Dionne Rachal, NURSE PRACTITIONER. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$115 ANDEXXA $20	$95

**Types of Payments**
Food and Beverage	$115

Biography

Ms. Dionne Rachal is a specialist in vascular neurology and family medicine in Marrero, LA and New Orleans, LA. Her clinical interests include stroke. Ms. Rachal is affiliated with Ochsner Medical Center.