Stroke

Question 1

Ischemic stroke

Answer 1

blood flow in a cerebral blood vessel is interrupted
- blood vessels are obstructed by emboli or thrombus

Question 2

importance of CT scan after a stroke

Answer 2

to determine if it is ischemic (clot) or hemorrhagic (bleed)

Question 3

zones of ischemic pneumbra?

Answer 3

inner zone - infarcted tissue (dead_
middle zone - pneumbra that still has functioning neurons
outer zone - healthy tissue

Question 4

5 signs of stroke

Answer 4

weakness, trouble speaking, vision problems, headache, dizziness

Question 5

treatments for strokes

Answer 5

thrombolytics (tPA), fibrinolytics, angioplasty and stent placement, craniotomy, CSF drainage, aneurysm clipping, carotid endarterectomy

Question 6

hemorrhagic stroke

Answer 6

bleeding occurs inside or around brain tissue

Question 7

contraindications to tPA

Answer 7

• uncorrected ABC
• blood glucose <= 3.0 mmol/L
• seizure at onset of symptoms or witnessed
• GSC < 9
• terminally ill or palliative care pt

Question 8

what is the acronym BRAIN ATTACK used for

Answer 8

assessment of stroke patients

Question 9

what does the acronym BRAIN ATTACK mean

Answer 9

Blood pressure
Respirations
Airway
Imaging
Normoglycemia

Aspirin
Temperature regulation
Thrombolysis
Assessment of nutrition, dehydration, and swallowing
Continence
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