AMS Stroke lecture Flashcards
What is the Reticular activating system?
NETWORK OF NERVE CELLS IN THE BRAINSTEM THAT TRANSMITS INFORMATION TO AND FROM THE CEREBRUM
What is required for conciousness?
RAS MUST BE INTACT AND AT LEAST ONE CEREBRAL HEMISPHERE.
What are some structural causes of AMS?
BRAIN TUMOR
HEMORRHAGE IN THE CRANIUM OUTSIDE THE BRAIN
HEMORRHAGE IN THE BRAIN TISSUE
TISSUE DAMAGE FROM TRAUMA
BRAIN ABCESS OR INFECTION
what are some toxic causes of AMS?
SEVERE HYPOXIA OR ANOXIA
ABNORMAL BLOOD GLUCOSE LEVELS
LIVER FAILURE
KIDNEY FAILURE
what is AEIOU TIPPS
ALCOHOL INTOXICATION
EPILEPSY (SEIZURE)
INSULIN (DIABETIC EMERGENCY)
OXYGEN (HYPOXIA)
UREMIA – KIDNEY INFECTION
TRAUMA
INFECTION
PSYCHIATRIC
PUMP/POISONING (INCLUDES DRUG OVERDOSE)
SHOCK/STROKE
helps determine ams
What is FAST?
FACIAL DROOP
ARM WEAKNESS
SPEECH DIFFICULTY
TIME TO CALL 911
used to recognize stroke
LAMS Test
Facial droop 0-1
Arm Drift 0-2
Grip Strength 0-2
Used to determine severity of stroke
ischemic stroke
blood cut off due to clot
hemorrhagic stroke
rupture vessel in brain causing bleed
what are the s/s of stroke?
F.A.S.T
SUDDEN ONSET OF PARALYSIS TO ONE SIDE OF THE BODY
SPEECH DISTURBANCE
UNEQUAL PUPILS
SUDDEN ONSET OF A SEVERE HEADACHE
SEIZURE ACTIVITY
INABILITY TO UNDERSTAND WHAT YOU ARE SAYING
INABILITY TO FORM WORDS TO TALK
What is expressive aphasia
PATIENT KNOWS WHAT HE WANTS TO SAY JUST CAN’T FORM THE RIGHT RESPONSE OR PICK THE CORRECT WORDS.
what is receptive aphasia?
PERSON HAS DIFFICULTY UNDERSTANDING WHAT YOU ARE ASKING OR TELLING HIM
What are the key points of vascular headaches?
THROBBING AND CAN BE LOCALIZED TO ONE SIDE OF THE HEAD
SENSITIVITY TO LIGHT
N/V AND SWEATING
CAUSED BY HYPERTENSION
think migraines
What are the key points of Cluster headaches?
OCCUR REPETITIVELY IN CLUSTERS
LOCALIZED TO ONE SIDE OF THE HEAD OR FACE
EXCESSIVE TEAR PRODUCTION ON SIDE OF THE HEADACHE
DROOPING EYELIDS
What are the key points of Tension headaches?
CONTRACTION OF THE MUSCLES OF THE NECK AND SCALP
TIGHT/VISELIKE PAIN
OCCURS TO BOTH SIDES OF THE HEAD
CAN RADIATE TO THE SHOULDERS/NECK AREA
