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TIA and Stroke
exam 7 alterations
| Question | Answer |
|---|---|
| what are the symptoms of right sided stroke | Paralyzed left side Left side neglect Spatial perceptual deficits Tends to deny or minimize problems Rapid performance short attention span Impulsive/safety problems Impaired judgment/time concepts |
| what are the symptoms of a left sided stroke | Paralyzed right side Impaired speech/language Impaired right/left discrimination Slow performance/cautious Aware of deficits, depression and anxiety Impaired comprehension related to language and math |
| what are the signs of an internal carotid artery | Contralateral paralysis of arm, leg and face Aphasia, apraxia, agnosia Hemianopia |
| what are the signs of middle cerebral artery | Drowsiness, stupor & coma Contralateral hemiplegia of arm and face Global aphasia Hemianopia |
| what are signs of anterior cerebral artery | Contralateral paralysis of foot and leg Sensory loss of toes, feet and leg Loss of ability to make decisions and act voluntarily and urinary incontinence |
| what are signs of vertebral artery | Pain in face, nose and eye Numbness and weakness in face on involved side Problems with gait Dysphagia |
| What is a TIA | mini stroke |
| Antiplatelets are used to treat which kind of stroke | TIA (mini) |
| tPA must be given when | within 3 hours of symptom onset |
| antithrombotic meds are given when | when ischemic stroke is suspected |
| anticoagulants are given for which type of stroke | ischemic |
| never give an anticoagulant med to what kind of stroke | hemorrhagic |
| nursing interventions after a stroke | Position client on unaffected side for 2 hours and affected side for 20 minutes Position client in prone position if prescribed for 30 minutes 3 times a day Provide skin, mouth and eye care |
| nursing interventions after a stroke | Perform PROM to prevent contractures Place TEDS on patient but remove daily to check skin Measure thighs and calves bilaterally to check for increase in size and color |
| nursing interventions after a stroke | Monitor for gag reflex and ability to swallow Provide sips of fluid and slowly advance diet Provide soft and semisoft foods and thickened fluids |
| nursing interventions after a stroke | When eating have patient sit up with head and neck slightly forward and flexed Place food in back of mouth on unaffected side to prevent trapping of food in cheek |
Created by:
bkgrota
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