Stroke

Question 0

brief period of localized cerebral ischemia
less than 24hrs
warning signal of an ischemic thrombotic stoke

Answer 0

transient ischemic attack (TIA)

Question 1

blockage or stenosis of a cerebral artery

Answer 1

ischemic stroke

Question 2

occlusion on artery wall
occur while people are resting or sleeping
decreased BP leads to less pressure to push blood thru
begins with TIA, worsens over 1-2days

Answer 2

thrombotic stroke

Question 3

occurs when a clot is free floating
occurs when pt is awake and active
sudden onset with immediate deficits

Answer 3

embolic stroke

Question 4

sudden bleeding into brain
occurs with sustained increase is BP
impairs absorption and circulation of cerebrospinal fluid

Answer 4

hemorrhagic stroke

Question 5

normal physiologic response to an embolic clot

Answer 5

increased systemic BP

Question 6

1 prevention for CVA

Answer 6

antihypertensives

followed by smoking cessation (lifestyle/diet)

Question 7

can understand but can only respond in short pharases

:broken speech

Answer 7

broca’s aphasia

Question 8

cannot understand spoken or written words

fluent speech but inappropriate content

Answer 8

wernicke’s aphasia

Question 9

cardiovascular health indicator

how prone they are to plaque formation

Answer 9

Micro Albumin

Question 10

prevention pharmacologics

Answer 10

antiplatelets

:plavix, aspirin

Question 11

used to treat pts with TIAs or had a previous stroke

Answer 11

antiplatelets

aspirin, plavix

Question 12

ordered to treat an ischemic stroke

Answer 12

heparin, coumadin, lovenox

Question 13

never administered to a client with a hemorrhagic stroke

Answer 13

antioags

Question 14

used to treat thrombotic stroke

Answer 14

fibrinolytics

Question 15

fibrinolytics “window of opportunity”

Answer 15

given w/in 3hrs of onset of manifestations after confirming on CT of an ischemic stroke

Question 16

contraindicated in hemorrhagic stroke

Answer 16

antiplatelets

Question 17

dysphagia more common with…

Answer 17

left hemisphere CVA

Question 18

symptoms with left hemisphere CVA

Answer 18

langauge
talking/ understanding
reading/ writing
memory
depression
math comprehension
slow cautious behavior

Question 19

right hemisphere CVA s/s

Answer 19

perceptual skills
understanding what we see, hear, touch
judging size, speed, distance
neglect syndrome
poor impulse control 
short attention span

Question 20

ACT FAST

Answer 20

F: facial symmetry
A: arms drift
S: speech
T: time is brain tissue