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CVA. aka. Stroke
Question | Answer |
---|---|
Temporary neurological deficit caused by impairment of cerebral Blood flow. Blood supply to part of the brain is blocked temporarily | Transit ischemic attack TIA |
Predominant modifiable risk factor | Hypertension |
Medication that anyone with a TIA should take | Aspirin |
An abrupt impairment a brain function resulting in a set of neurologic signs and symptoms that are caused by impaired blood flow to the brain and last more than 24 hours | Stroke |
Hemorrhagic and ischemic | Types of stroke |
Third leading cause of death in the US and first leading cause of disability | STROKE! |
First imaging test you should always do with signs and symptoms of a stroke. It is looking for bleeding to determine what kind of stroke. | CT scan |
Loss of ability to understand or expressed speech caused by brain damage | Aspasia |
Slurred speech | Dysarthria |
Inability to generate or even comprehend speech | Dysphasia |
Inability to willfully move | Dyspraxia |
Paralysis of One side of the body | Hemiplegia |
Impairment of one or more of your senses | Sensory impairment |
Inability to remember affected side of body from a stroke | Unilateral neglect |
Losing one side of your vision | Homonymous hemianopsia |
Loss of bladder sensation | Elimination disturbances |
During the acute phase medical treatment what is the major focus area | Hypertension, oxygenation, hyperthermia, hyperglycemia |
How long from initial stroke symptoms do you have to use TPA | Up to Three hours |
Drug therapy during acute phase | TPA, mannitol, nimodipine, phenytoin, acetylsalicylic acid. You can use calcium channel blocker‘s to prevent spasms |
Assessment, health history, physical examination | Nursing care in the acute phase |
Deficient blood and oxygen supply to the brain due to an occlusion that could be thrombotic, or embolic | Ischemic stroke |
Caused by bleeding or leaky blood vessels causes abnormal accumulation of blood within the brain | Hemorrhagic stroke |
Age, race, family history, Gender | Non-modifiable risk factors |
Hypertension, diabetes, lack of exercise, alcohol, smoking, drug abuse, hyperlipidemia | Modifiable risk factors |
Confusion, slurred words, difficulty swallowing, to potty thinking, paralysis or numbness of the face armor legs, probably seeing in one or both eyes, headache, trouble walking | Signs and symptoms of a stroke |
The worst headache in your life | Signs and symptoms of a hemorrhagic stroke |
Control high blood pressure, lower cholesterol, quit smoking, manage diabetes, exercise regularly, treat obstructive sleep apnea, avoid illegal drugs | Prevention of a stroke |
Focuses on controlling the bleeding and reducing pressure in your brain caused by the excess fluid | Emergency treatment of a hemorrhagic stroke |
Endovascular procedures, carotid endarterectomy, angioplasty and stent,IV administration of TPA | Emergency treatment of ischemic stroke |
Recent brain bleed, or injury. Blood pressure over 180/110, recent surgery less than 14 days, G.I. hemorrhage within the last three weeks | Do not administer TPA under these conditions |
Focuses on helping you recover as much function as possible and return to independent living | Stroke recovery and rehabilitation |
Surgeon, psychiatrist, dietitian, physical therapist, occupational therapist, recreational therapist, speech pathologist, psychologist, chaplain, nurses, doctors | Interdisciplinary team members that may be needed for recovery and rehabilitation |
Give antipyretics such as Tylenol, and apply cold packs. Give calcium channel blocker’s. Give insulin. Give oxygen | How to treat hypothermia. Hypertension. Hyperglycemia. Depleted oxygenation |
In adequate oxygenation, potential injury, potential for fluid volume in balance, in adequate nutrition, elevated body temperature, potential for impaired cognition, inability to communicate effectively, impaired mobility, urinary Incontinence and difficu | Required intervention in the acute phase |
Inadequate self-care, potential injury, and adequate Coping, inability to communicate effectively, in adequate nutrition, impaired mobility, constipation, impaired urinary elimination and functional urinary incontinence | Requires interventions in the rehabilitation phase |
There are two main causes of stroke. Blocked artery which is an ischemic stroke. Or leaking or bursting blood vessels which is a hemorrhagic stroke there is also a temporary disruption of blood flow to the brain known as transient ischemic attack that doe | Quick and simple reference to strokes |