adult health Flashcards
Stroke
Hypertension
is the #1 risk factor for stroke.
Transient ischemic attack (TIA) =
temporary lack of
cerebral perfusion (resolves within 24 hours).
1 risk factor = hypertension (SBP >140).
Diabetes mellitus
Obesity
Smoking
Atherosclerosis
Atrial fibrillation
Carotid stenosis
WARNING SIGNS OF STROKE
F Facial drooping
A Arm weakness or drift
S Speech difficulties
T Time: seek immediate treatment
A severe headache
(“worst headache of my
life”) can indicate a hemorrhagic stroke.
To determine if a client is a candidate for fibrinolytic therapy,
perform a head CT to identify
stroke type (ischemic or hemorrhagic) and ask
whether symptom onset was <4.5 hours ago.
Fall precautions and aspiration precautions
should be implemented for a client having a
stroke. The client should remain NPO until a
swallow evaluation is performed.
Decreased LOC during tPA administration
is a warning sign of life-threatening
intracranial hemorrhage.