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AH 2 Final > CVA > Flashcards

CVA Flashcards

1
Q

Stroke

A

An interruption of perfusion to any part of the brain that results in infarction (cell death)

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2
Q

CVA - Modifiable Risk Factors

A
  • Smoking
  • Substance use
    > cocaine
  • Obesity
  • Sedentary lifestyle
  • Oral contraceptives
  • Heavy ETOH use
  • Phenylpropanolamine (PPA)
    > antihistamines
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3
Q

CVA - Non-Modifiable Risk Factors

A
  • American Indian
  • Alaskan Native
  • African American
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4
Q

CVA - Medically Managed Risk Factors

A
  • HTN
  • Diabetes
  • Atherosclerosis
  • Aneurysm
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5
Q

CVA - Hlth Promotion & Maintenance

A
  • Stop smoking/drug use
  • Take prescribed Aspirin everyday
    > only for ischemic stroke
  • Exercise
  • Reduce ETOH use
  • Dcr salt intake
  • Take prescribed BP meds
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6
Q

CVA - Assessment

A
  • Full hx
  • Meds
  • Cognition
  • Sensory perception
  • Stroke center
    > primary
    > comprehensive
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7
Q

National Institute of Health Stroke Scale

A
  • NIHSS
  • Higher number = more chance of stroke
  • Very high # = large vessel stroke
  • Score 0-40
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8
Q

CVA - FAST Assessment

A
  • F: face drooping
  • A: arm weakness
  • S: speech difficulty
  • T: time to call 911
    > used more for non-healthcare workers
  • Glasgow Coma Scale (GCS)
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9
Q

CVA - Stroke Mimics

A
  • Low blood glucose
  • Low BP
  • Arteriospasm
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10
Q

Stroke Syndromes

A
  • Middle Cerebral Artery Strokes
  • Posterior Cerebral Artery Stroke
  • Internal Carotid Artery Stroke
  • Anterior Cerebral Artery Stroke
  • Vertebrobasilar Artery Stroke
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11
Q

Stroke Syndrome - Manifs

A
  • Sudden trrouble speaking or understanding
  • Sudden weakness or numbness of arms or legs
  • Memory impairment
  • Aphasia
  • Alexia
  • Agraphia
  • Acalculia
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12
Q

CVA - Motor Manifs

A
  • Hypotonia
  • Hypertonia
    > stiff muscles
  • Agnosia
    > inability to interpret sensations
  • Apraxia
    > inability to perform purposeful actions
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13
Q

CVA - Sensory Manifs

A
  • Neglect
  • Ptosis
    > low hanging eyelid
  • Hemianopsia
    > loss of half of visual field
  • Homonymous hemiaopsia
    > vision loss on the same side in both eyes
  • Nystagmus
    > invol eye movement
  • Paresthesia
    > tingling
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14
Q

CVA - Cranial Nerve Manifs

A
  • Gag reflex
  • Swallowing
  • Chewing
  • Cough
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15
Q

CVA - Cardiovascular Manifs

A
  • Atrial fibrillation
  • HTN
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AH 2 Final (24 decks)

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