Strokes Flashcards by Will S

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Q

Ischemic Stroke

A

Caused by Thromotic or embolic event; artery blocked, blood can’t perfuse, becomes ischemic

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Q

Hemorrhagic stroke

A

Caused by aneurysm, HTN, and arteriovenous malformation

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Q

Major warning sign of stroke

A

Transient Ischemic Attack

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Q

therapy for thrombotic stroke

A

Pt prereqs:

Not having an active bleed
No stroke or surgery in last 3 months
No Significant trauma
2 sites of IV access

Thrombolytics
-Anistrplase
-Retiplase
Streptase
-t-Pa

Anticoagulants

Heparin/warfarin
Xarelto
Eliquis
Lovenox

Antiplatelet:
-Plavix

Antiepileptics (Lorazepam)
Ca channel blockers

Stool softeners (no bearing down)

Analgesics for pain

Antianxiety drugs

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Q

Nursing interventions for stroke

A

Monitor ICP

Monitor albumin and glucose (fluid shift)

Monitor safety regarding:

Unilateral neglect
Poor vision
Low mobility
Swallowing issues
Elimination issues

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Q

Medical stroke management

A

Thrombolytics

Surgery:

Carotid angioplasty w/stent (scrapes plaque out)
Endarterectomy
Clipping of aneurysms
craniotomy: remove clots, relieve pressure
Extracranial-intracranial bypass

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