Cerebrovascular Accident (CVA) Flashcards
(20 cards)
Define CVA
Reduction of cerebral blood flow and oxygen which causes brain cell damage
3 most common causes of CVA
Embolism
Hemorrhage
Thrombus
Signs of CVA
Client reports H/A
Nausea
HTN
Bounding pulse
Facial Drop
Cheyne-stokes respirations
Difference between CVA and TJIA
TIA is temporary neuro deficit but symptoms resolve and disappear
What is agnosia
Inability to use object correctly
Expressive aphasia occurs
Client cannot communicate properly. Can be expressive or receptive
Which side of the brain affect which side of the body
Right side of brain - left body
Left brain - right body
Tests used to determine CVA
CT (initial test)
EEG
Cerebral arteriography
Patients with hemorrhagic stroke are at an increased risk for which complications
Seizures due to possible bleeding in the cerebral cortex
Monitor Vital sides, neuro checks, seizures, increase cranial pressure, ability to swallow
What complication of eyes can a client with a CVA have
Corneal abrasion - as the lacrimal glands will not produce lube
Activity level for CVA
Strict bed rest
Room environment for CVA
Quiet, objects placed on unaffected side
Position for CVA
Q2 Turns to unaffected side, 20 minutes to affected side, back
Thrombolytic would be given for
To dissolve the clot
Do not give thrombolytic if the stroke is caused from
Hemorrhage - this will make them bleed more
Medications for CVA
Anti-HX
Anti-coags (not for hemorrhage)
Anti-convulsant
Do coumadin and aspirin dissolve clots
No. They thin the blood
Pupil reactions are regulated by what
Cranial nerve 3 - intact brain stem
Nuchal rigidity may indicate what
Meningeal irritation - seizures may come, increased ICP
Anticipated Medication Orders for CVA
Thrombolytics - tPA Tissue plasminogen activator
Anti-coags - warfarin, heparin
Anti-plates - aspirin, ticlopidine
Antifibrinolytics - aminocaproic acid
