stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Exam 4 Pt 1: Cerebral Vascular Accident (Stroke), Increased Cranial Pressure Flashcards | StudBud
Explore
/
Exam 4 Pt 1: Cerebral Vascular Accident (Stroke), Increased Cranial Pressure
Exam 4 Pt 1: Cerebral Vascular Accident (Stroke), Increased Cranial Pressure
36 terms
·
StudBud Administration
·
28 plays
Imported from external platform
Flashcards
36 cards
F
Practice quiz
P
Host live
L
Questions
36
Answers
1
Common risk factors for Ischemic strokes
Female, Caucasian
>55 yrs, Oral contraceptive use
HTN, Diabetes, Obesity
Male, African American
2
Emergent care of Ischemic stroke Dx via CT: Candidate for fibrinolytics, and repeat NIHSS scale
True
False
3
The most common cause of Thrombolytic stroke is A Fib
True
False
4
Is the picture Left sided Homonymous Hemianopsia?
True
False
5
These patients are NOT able to have fibrinolytics
evidence of all types of bleeding
Presentation of subarachnoid hemorrhage
Uncontrolled HTN: >185/110
Multilobar infarct
6
Broca's = expressive aphasia; Wernicke = receptive aphasia
True
False
7
MERCI Retrieval: removes clot, have within 8 hours, is for pts who cannot have tPa/failed tPa
False
True
8
You can keep Ischemic stroke patients prone for 15-30 min a few times per day
False
True
9
S/s of Early ^ ICP
^ resp effort
Hemiparesis
Diplopia, hippus
Restlessness, confusion #1 s/s
10
Match the word with the definition
Ataxia= defective motor coordination
Hemiparesis= weakness
Dysarthria= impairment in speaking
Hemiplegia= paralysis
11
TIA/Stroke assessment includes...
Motor, NIH Stroke, Cerebellar
Cardiac/Respiratory
LOC, Glascow Coma Scale
PERRLA, Pupils, DTRs
12
NI for Mobility
Prevent foot drop
Maintain ROM
prevent contractures
transfer to strong side
13
Cushing's Triad
HTN
bradycardia
bradypnea
HOTN
14
Left sided brain function: language, analytics, math, depression, anger
False
True
15
Keep HOB at 30* for Hemorrhagic, 0-60* for ^ ICP, and Flat for Ischemic
False
True
16
Right sided brain function: Proprioception, neglect, preception, impulse control
True
False
17
Pt presents in ER with suspicion of a stroke....priority actions?
12 Lead Ecg
ABCs, NIHSS stroke scale
CT scan q25min of arrival
Establish IV access
18
Prenumbra induces cellular edema; it is treated with 3% NaCl/Mannitol/Therapeutic Hypothermia
True
False
19
NI for aphagia
ask yes/no qts
eliminate distractions
give patient time to respond and be patient
Communicate 1 thought at a time
20
Fibrinolytic care: You must be 16 yrs old and have it within 5 hours
False
True
21
GCS of 3 is brain death, GCS of 8 intubate, GCS 15 is good!
False
True
22
Hemorrhagic Stroke
Break in blood vessel related to Uncontrolled HTN, AVM, Aneurysm
Dx: CT scan, Cerebral angiography; supportive care/bed rest/vent
S/s: Thunderclap, worst headache of my life, ^ ICP
Meds: Keppra, Nimodipine, Dexamethasine, Triple H therapy, Mannitol
23
S/s ischemic stroke
numbness: face, arm, leg
sudden severe headache
difficulty in walking/loss of balance
Slurred speech
24
Keep patient NPO and sit up 90* for dysphagia
True
False
25
Care if identification of Hemorrhagic stroke via CT
cannot have fibrinolytics
Consult with neurologist/neurosurgeon
Note INR and consider Vit K admin
Can have fibrinolytics
26
Decorticate is to core as Decebreate is extended
False
True
27
TIA's...
resolves within 24 hrs
still requires a complete impatient workup
precedes a embolytic stroke
precedes a thrombolytic stroke
28
Controlling HTN can be the #1 key modifier in prevention of strokes
True
False
29
MAP-ICP=CCP & <50 is permanent neurological damage
True
False
30
Info about Ischemic strokes
HOB flat for blood flow
Prenumbra area can be saved with permissive HTN (SBP 200-220)
O2 therapy, Antiplatelet meds,
31
Carotid Endarterectomy cannot prevent a stroke
False
True
32
NI for Unilateral neglect
Teach patient to stimulate affected side
Teach patient to use mirror to survey affected side
Teach patient to turn head to affected side
Place objects in patient’s visual field
33
Normal ICP is between 1-10-15 mmHg
False
True
34
Types of ischemic strokes
large artery thrombosis: atherosclerotic plaques on brain
Cardiogenic embolism--> caused by dysrhythmias/a fib
Small penetrating artery thrombosis--> creates cavity with death of tissue
35
Dilated/blown pupils can indicate brain problems
False
True
36
Types of Ischemic Stroke
Thrombolytic
Hemorrhagic
Embolytic
