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TIA and Stroke

exam 7 alterations

QuestionAnswer
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