Cva

Question 1

Cva - cerebrovascular accident

Answer 1

Stroke - stop of blood flow to brain

Question 2

What is the best method of decreasing mortality and morbidity of stokes

Answer 2

Prevention!,!

Question 3

How long does lack of oxygen to the brain cause damage to occur?

Answer 3

3min
- 5min for cellular death

Question 4

_______ major cause of ischemic stroke

Answer 4

Atherosclerosis

Question 5

What effects blood flow to the brain?

Answer 5

Cardiac out put
CO2
Intracranial pressures

Question 6

What comorbidity is the most common cause of a stroke?

Answer 6

A fib
- due to blood pooling in the atrium making it easier for a blood clot to for,

Question 7

What are the 3 types of strokes

Answer 7

TIAs - mini stroke
Ischemic
Hemorrhagic

Question 8

Ischemic stroke

Answer 8

A clot blocks blood flow to an area of the brain

Question 9

Hemorrhagic stroke

Answer 9

Bleeding occurs inside the brain

Question 10

Tia - transient ischemic attack

Answer 10

Transient episode - come and goes fast w/o curing any damage

Question 11

Treatment for a TIA

Answer 11

Prevention of stroke!!

• minimize risk factors ~ lower cholesterol/ lipid levels / control diabetes

Question 12

What drug is given for Tia

Answer 12

Anti platelets
- clopidogrel
Ticlopidine

Question 13

Thrombotic stroke

Answer 13

Results from thrombosis or narrowing of blood vessel

Question 14

Embolic stroke

Answer 14

When an embolus lodges in an artery in the brain

• something is thrown into blood and travels to the brain

Question 15

Intracerebral hemorrhage

Answer 15

Bleeding within the brain caused by ruptured blood vessels

Question 16

If right damage of the brain occurs from a stroke what will be affected?

Answer 16

Left side paralyzed
Impaired judgment
Impulsive - safety issues
Impaired time concept

Question 17

If left Side of the brain gets damaged from a stroke what will you aspect?

Answer 17

Paralyzed right side
Impaired speech
Impaired comprehension- language / math

Question 18

Nihss is

Answer 18

A standardized tool to assess severity of stroke

Question 19

What is the single most important tool to diagnose a stroke

Answer 19

Non contrast CT
- can differentiate b/w ischemic and hemorrhagic stroke

Question 20

Signs and symptoms of stroke

Answer 20

Loss of balance
Eyesight changes
Face drooping
Arm weakness
Speech difficulty

Question 21

What does “door to drug time” refer to

Answer 21

How long does it take a person who is a possible stroke get from ambulance to the ct
- now important to get ct as soon as possible

Question 22

Tnk is given over tpa for ischemic strokes because

Answer 22

It is a single dose
Less room for an error to occur half life of 20 min

Question 23

TNK

Answer 23

Helps to dissolve blood clots
- disadvantage = needs to be given w/in 4.5 hours of onset of symptoms

Question 24

Collaboration care for strokes helps to prevent further brain damage and reduce disability

True or false

Answer 24

True

Question 25

Nursings main goal for stroke patient is to

Answer 25

Maintain a stable or improve loc in patient

Question 26

Aphasia

Answer 26

Difficulty speaking

Question 27

Stroke core measures was brought in by

Answer 27

The cdc and who
- uses 8 measures to asses a stroke and how to care for it