Med Surg: Neurologic Flashcards Preview

Med Surg Test 7: Neuro/Muscular > Med Surg: Neurologic > Flashcards

Flashcards in Med Surg: Neurologic Deck (12)
Loading flashcards...
1

What is a transient Ischemia attack?

Visual defects: blurred vision, diplopia, amaurosis fugax, tunnel vision

Motor deficits: weakness (arm, hand or leg), ataxic

Sensory deficits: numbness (face, arm or hand), vertigo

Speech Deficits: Sphasia and dysarthria

2

What are the types of strokes?

Ischemia: occlusive

- Thrombotic: more than 1/2, clot, atherosclerosis in carotid or interacranial

- Embolic: clot broken off (heart), non-valve a-fib, HTN, prosthetic heart valve, antime plaque break off

Hemorrhagic: aneurysm, hypertension, arterio-venous malformation

3

What are the S&S of Thrombotic stroke?

daytime

slow onset

awake

HTN

speech defects

visual problems

confusion

normal CSF

no seizures

improvements over weeks

4

What are S&S of Embolic stroke?

daytime

sudden onset

awake

cardiac disease

paralysis

expressive aphasia

normal CSF

no seizures

reapid improvement

5

What are S&S of Hemorrhagic stroke?

daytime

sudden onset

stupor or coma

HTN

focal deficits

bloody CSF

usually seizures

variable duration

6

What are risk factors for stroke?

cerebral aneurysm

arteriovenous malformation

DM

obestiy

HTN

atherosclerosis

Hyperlipidemia

Hypercoagulability

atrial fibrillation

use of oral contraceptives

smoking cocaine use

7

What are diagnostic procedures for stroke?

CT without contrast

MRI

MRA

cerebran angiography

Lumbar puncture

Lab values: hgb, hct due to lact of O2 to the brain

8

What is health promotion for stroke?

History of meds, social history and medical

Onset and how the symptoms progressed

Determine severity of symptoms

Stroke assessment toolds

Cognitive changes

- Left hemisphere: language, math, analytic

- right hemisphere: visual, spatial awareness, proprioception

Sensory changes

- unilateral body neglect syndrome

- visual ability

9

What is the treatment for stroke?

Maintain perfusion, restore circulation, manage edema and ICP

"Golden Hour" door to needle <60 minutes

TPA IV 3 hours now 4.5 hours

TPA IA 6-12 hours

10

What are the medications for stroke?

Anticoagulants

Antiplatelets

Thrombolytics

Antiepileptics

Antihypertensives

11

What are stroke symptoms?

Sudden numbness or weaknes of the body, especially one side

Sudden vision changes in one or both eyes, or difficulty swallowing

Sudden, severe headache with unknown cause

Sudden problems with dizziness, walking or balance

Sudden confusion, difficulty speaking or understanding others

12