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Stroke
Notes from lecture slides, highlights
15
Nursing
Undergraduate 1
01/22/2012

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Cards

Term
What are the two main types of stroke? Which is more common?
Definition
ischemic (thrombotic>embolism), hemmorhagic. ISCHEMIC more common
Term
Stroke in children--what is the primary type of stoke in perinatal infants? Children?
Definition
Hemorrhagic (from in utero to 28 days); In CHILDREN it's 50/50 ischemic and hemorrhagic
Term
What are the 6 main risk factors for stroke? What are the 8 modifiable risk factors for stroke?
Definition
1.HBP, 2.HBcholesterol, 3.sedentary lifestyle, 4.smoking, 5.heart dysrhythmia, 6.diabetes mellitus
Term
What are the characteristics of TIA?
Definition
Reversible within 15min-24hrs of initiation, [facial symmetry, arm drift, weak, numb, visual impairments, aphasia, syncope]
Term
What is the significance of the Stroke ABCD score?
Definition
30% of TIA patients with an ABCD =6 end up having a stroke within one year. [Age, BP, Clinical Feat, Duration]
Term
What are the 6 warning signs of stroke?
Definition
SUDDEN 1. Numbness/weakness on ONE SIDE, 2. confusion, 3. trouble speaking and understanding, 4. trouble seeing in one or both eyes, 5. trouble walking, 6. severe headache with unknown cause.
Term
What considerations before treatment of Ischemic stroke with anticoagulants like T-Pa
Definition
SBP<185, DBP<110 within 3-4.5 hrs of onset
Term
What are treatments for hemorrhagic stroke?
Definition
Vit K (reverse anti-coag), coiling/wrapping an aneyurism, surgical removal of hematoma
Term
What parts of the brain are supplied by the MID CEREBRAL ARTERY?
Definition
Frontal, parietal and temporal--aphasia and hemiplegia
Term
What are the clinical manifestations of a stroke (dependent upon vessel that is affected)
Definition
Motor, speech, emotions/affect, intellectual, spatial/perceptual, elmination (b/b)
Term
Left sided stroke deficiets include:
Definition
aphasia, agraphia, alexia, WORRIED and SLOW
Term
Deficits of RIGHT sided stroke
Definition
Speech rhythm, no depth perception, impaired time concept, impulsive, hurried, neglect left side of body
Term
People with Dysarthria (trouble with speech) may also have trouble doing what?
Definition
Swallowing
Term
Bladder training techniques include:
Definition
Remoing the foley ASAP. Voiding trials (fluid btw 0700-1900), void Q2h use bladder ultrasound to make sure fully empty, cath Q4h if cannot void. avoid nicotine and diuretics.
Term
What are the secondary preventions to be aware of for stroke patients?
Definition
Risk for subsequent stroke, BP control, diabetes control, weight reduction (ideally BMI 19), physical activity 30 min moderate most days, stop smoking, anti coag for cardioembolic stroke types, cholesterol control (statins)
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