Neurology 3.6 Flashcards Preview

NMSK-B III > Neurology 3.6 > Flashcards

Flashcards in Neurology 3.6 Deck (14):
1

How is a stroke managed when a patient presents?

-head is laid flat
-fluid increase
-stabilize bp
-maintain airway

2

What are the major risk factors for stroke?

-male
-age
-diabetes
-HTN
-smoking
-heart disease
-obesity

3

What is the bp goal for a patient post-stroke?

140/90 or lower

4

If a patient is suddenly unresponsive from tpa treatment in the ICU, what could be the cause?

cerebral edema with shift (L-->R)

5

Is a patient with an intracerebral hemorrhage a tpa candidate?

no

6

Where does intracerebral hemorrhage bleeding occur?

directly into the brain parenchyma

7

What is the most common etiology of intracerebral hemorrhage?

leakage from small intracerebral arteries damaged by chronic HTN

8

Who is at risk for hemorrhagic stroke?

AA and Japanses populations; older-aged population

9

What is the modality of choice for imaging hemorrhagic stroke on emergent basis?

STAT noncontrast CT of the brain

10

Is ICU mandatory for hemorrhagic stroke?

yes

11

What is the one exception where neurosurgery is indicated with a stroke?

cerebellar hematoma; lifesaving in the prevention of brainstem compression

12

What is a pontine hermorrhage?

severe catostrophic brainstem hemorrhage
"pin point" 1-2mm nonreactive pupils with coma

13

What is the most common etiology of a subarachnoid hemorrhage?

trauma

14

What is the most common spontaneous cause of a subarachnoid hemorrhage?

congenital "berry" or saccular aneurysm