3.28 Stroke 2 Flashcards

1
Q

Categories of issues that arise from strokes

A
  • speech
  • motor
  • memory
  • personality
  • bowel/bladder
  • vision
  • apraxia
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2
Q

strokes: speech problems

A

aphasias

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3
Q

strokes: motor problems

A
  • paresis
  • paralysis
  • plegia
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4
Q

strokes: personality changes

A
  • emotional

- labile

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5
Q

Major thing to remember about all strokes**

A

no two strokes will look the same, even if they’re in the same artery

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6
Q

Which type of stroke is easier to classify (s/s)?

A

ischemic

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7
Q

Why are hemorrhagic strokes difficult to classify?

A
  • blood is leaving the artery before it gets to tissue and is filling a space (creating pressure)
  • can affect both areas
  • If pressure gets high enough, can push brain into the skull and affect those tissues

DIFFUSE cluster of s/s depending on where the bleed is

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8
Q

Other than ischemic and hemorrhagic, what are some of the other stroke types?

A
  • TIA
  • minor
  • major
  • shower stroke
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9
Q

TIA

A

transient ischemic attack

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10
Q

What is a TIA?

A
  • temporary restriction of blood flow
  • resolves within 24 hours
  • aka “pin strokes”
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11
Q

Why does the cause of TIA need to be assessed?

A
  • there’s some clotting happening » need to figure out or they’re going to have a full blown stroke
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12
Q

What may be used to assess the cause of TIA?

A
  • ECG
  • carotid ultrasound (plaque buildup)
  • study brain under fluoroscopy to find out where clots are coming from
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13
Q

What are some s/s of a minor stroke

A
  • foot drop
  • hand weakness
  • face droopies
  • superficial weakness
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14
Q

What is a minor stroke?

A
  • usu smaller clot that is only affecting a small part of the gyri
  • no other areas of the brain affected
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15
Q

minor stroke recovery

A

may get better over time with therapy

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16
Q

major stroke

A
  • massive loss of function in an entire side
  • complete disuse of limbs, speech issues, etc.
  • tons of therapy
17
Q

What is a shower stroke?

A

shower of emboli create diffuse symptomology (tons of small strokes occur at the same time)

18
Q

What procedure can potentially cause a shower stroke?

A

carotid endartectomy: small emboli can dislodge and perfuse across the brain and get lodged errywhere

19
Q

prognistic considerations for stroke

A
  • age
  • gender
  • alcohol consumption
20
Q

prognostic factors: age

A
  • younger (under 40) = more likely to improve

- brain more plastic

21
Q

prognostic factors: gender

A
  • women more susceptible

- higher risk during pregnancy or postpartum

22
Q

Why are women more susceptible to strokes?

A

birth control

23
Q

Common risk factors

A
  • beetus
  • heart rhythm
  • HTN
  • heart disease (anything arterial)
  • stacking of conditions
  • pregnancy/birth/postpartum
  • menopause
24
Q

What is preeclampsia?

A

HBP during pregnancy

25
Q

modifiable risk factors for stroke?

A
  • cigarettes
  • obesity
  • inactivity
  • diet
26
Q

nonmodifiable risk factors for stroke

A
  • family hx
  • age
  • gender
  • race (African Americans have a higher risk)