Chapter 18: Neurologic Shock

Question 1

Ischemic vs Hemorrhagic Shock

Answer 1

Ischemic
-blockage
-need vasodilation
-atherosclerosis
-aspirin

Hemorrhagic
-rupture of vessels
-need a vasoconstrictor
-need for an increase in platelete aggregation
-

Question 2

Neurologic Stroke

Answer 2

-TIA
-status elipticus (prolonged seizures)

Question 3

CVA

Answer 3

cerebrovascular accident accident
interruption of blood flow within brain
results in the loss of brain function
-ischemic and hemorrhagic

Question 4

TIA

Answer 4

-resolve in 24hrs
-may lead to stroke later on

Question 5

S&S of Stroke

Answer 5

Mentation first to go
aphasia: difficulty expressing self
slurred speech
weakness

Question 6

Cushings Triad

Answer 6

-Bradycardia
-Tachypnea (cheyne strokes resp)
*slow deep breaths followed by apnea
-Widening pulse pressure

Question 7

Generalized vs focal seizures

Answer 7

generalized
-unconsciousness
-twitching and jerking
-unconsciousness

focal
-no change in consciousness
-focal onset
-one sided of body

Question 8

Status Elipticus Seizures

Answer 8

More than 5 minutes no longer than 30 minutes

Question 9

Causes of seizures

Answer 9

epileptic- congenital
structural- tumor, infection, head trauma, stroke
metabolic- hypoxia, hypoglycemia, poisioning, overdose
febrile- sudden high fever (children)

Question 10

Seizures Medications

Answer 10

keppra
dilantin
depakote
klonopin

Question 11

Syncope

Answer 11

Blood glucose
12 lead