Week 6 Intro to Stroke

Question 1

What is CVA/Stroke?

Answer 1

A disease of the cerebral vasculature where there is a failure to supply oxygen to the brain.

Question 2

What is TIA: Transient Ischemic Attack?

Answer 2

Either thrombotic or embolic with reversible defects, effects must resolve in less than 24hr.

Question 3

What is Infarct?

Answer 3

A localized area of tissue that is dying or dead. Due to obstruction in blood supply.

Question 4

Which types of stroke is most common among ischemic strokes?

Answer 4

Embolic

Question 5

How does embolic stroke form and come about causing stroke?

Answer 5

Abrupt onset
No warning
Caused by emboli that originates from the cardiac system

Question 6

What is thrombic stroke?

Answer 6

Occlusion of a vessel due to a clot forming in the brain

Question 7

Which stroke may have warning signs and may have TIA signs?

Answer 7

Thrombic

Question 8

What is the most common cause of thrombic strokes?

Answer 8

Abnormal arterial vessel wall (atherosclerosis)

Question 9

Deep Hypertensive Intracerebral strokes?

Answer 9

Small penetrating arteries deep in the brain are damaged due to HTN
Develops in minutes to an hour.
Rapid recovery in first 2-3 months

Question 10

What symptoms do patients present when having Deep Hypertensive Intracerebral strokes?

Answer 10

The patient is awake and under emotional distress.

Vomiting and headache

Question 11

Where does Spontaneous Labor Stroke occur?

Answer 11

Outside of basal ganglia in the white matter of the cerebral cortex.

Question 12

Spontaneous Labor Stroke is often associated with a client with?

Answer 12

AVM, bleeding, diatheses, tumors, aneurysms in the circle of Willis.

Question 13

Spontaneous Labor Stroke what are the symptoms?

Answer 13

Acute onset of symptoms
coma/stupor much less common
headaches common

Question 14

What is Ruptured Saccular Aneurysms characterized by?

Answer 14

Acute onset of severe headache
Brief loss of consciousness
Nausea 
Vomiting
Focal neurologic deficits
Stiff neck.

Question 15

Bleeding from an arteriovenous malformation stroke can be found?

Answer 15

throughout the body and can occur in any part of the brain.

Usually congenital

Question 16

What are the symptoms of an arteriovenous malformation stroke?

Answer 16

Headaches and seizures.

Question 17

What FAST stand for?

Answer 17

F – Facial dropping /asymmetry of the face
A – Arm weakness/ one side weakness of the body
S – Speech difficulties
T – Time call 991.

Question 18

What is the acute care hospital role with stroke patients?

Answer 18

Just long enough to get the client medically stable and formulate d/c plan.

Question 19

What is the average stay in acute care?

Answer 19

less than a week.

Question 20

What is the role of OT in acute care?

Answer 20

Evaluate and make recommendations for d/c
Patient and family education
Decrease risk for complications
Initiate OT rehabilitation.

Question 21

In the Evaluation and recommendations for the d/c role, what does OT do or have to do?

Answer 21

Check for MD orders
Review the medical record and communication with RN/MD
Begin with a gross assessment of mental status, strength, and vital signs.
Assess motor skills, cognitive functioning, and ADLs.

Question 22

In the Patient and Family education, what is important to do, and educate about?

Answer 22

With is CVA and patients function
What are the symptoms the client is presenting with
What can family and friends do to help 
What is OT
Recommendation for d/c

Question 23

What are the risk of complications and

Answer 23

Contractures
Fall prevention
DVT
Skin Integrity

Question 24

In the section on OT rehabilitation initiation, what can we do?

Answer 24

Splinting
Positioning 
Bed mobility 
Weight-bearing for function 
Edema management 
Shoulder management 
Dysphagia

Question 25

What is intrinsic neurologic recovery from stroke?

Answer 25

Remediation of neurological impairments (return of movement).

Question 26

Where does neurological recovery start?

Answer 26

Proximal to distal

Question 27

What functional recovery from stroke consists of?

Answer 27

Compensatory adaptive = regaining the ability to perform meaningful tasks with compensatory strategies (neuro not fully regained)