2.17 Stroke

Question 1

Transient Ischemic Attack (TIA)

Answer 1

5-15 minute focal ischemic spell

Symptoms usually resolve within 24 hours

Question 2

Systemic hypoperfusion stroke

Answer 2

“Watershed stroke”
Small distal arteries not receiving adequate blood
Cardiac pump failure or hypovolemia

Question 3

Lacunar infarct

Answer 3

Thrombosis in small artery in basal ganglion or pons

Pure motor or sensory deficits, cognitive problems

Question 4

Subarachnoid hemorrhage causes

Answer 4

Rupture of berry aneurysm or arteriovenous malformation

Question 5

Subarachnoid hemorrhage symptoms (6)

Answer 5

Headache, nausea/vomiting, neck stiffness, photophobia, transient LOC, seizures

Question 6

Intracerebral hemorrhage pathophysiology

Answer 6

Result of HTN

Rapid and steady progression

Question 7

Intracerebral hemorrhage symptoms (4)

Answer 7

Decreased alertness, HA, nausea/vomiting, hemiplegia

Question 8

Mauk Model of Post-Stroke Recovery (6 stages)

Answer 8

Agonizing, fantasizing, realizing, blending, framing, owning

Question 9

7 themes of stroke caregiver coping

Answer 9

Seeking information
Searching for own space and well-being
Suffering in silence
Putting one’s own needs aside
Adapting to a changed role
Social support
Hope and optimism