CVA

Question 1

what is an indicator of poor outcome for a CVA?

Answer 1

urinary incontinence

Question 2

which medical complications can decrease the outcome?

Answer 2

PE, DVT, UTI

Question 3

what are you at higher risk for post CVA?

Answer 3

increased risk of falls

Question 4

name a few signs of CVA.

Answer 4

speech impairment, numbness and weakness, impaired vision, LOC, difficulty ambulating

Question 5

what can lead to thrombus formation?

Answer 5

atrial fibrillation

Question 6

what is secondary to atherosclerosis?

Answer 6

embolus

Question 7

when blood falls below ____, neural function is impaired.

Answer 7

<20mL/100mg

Question 8

when blood falls below _____, infarction occurs.

Answer 8

<8-10mL/100mg/min

Question 9

what are the clinical findings of middle cerebral artery syndrome.

Answer 9

contralateral hemianesthesia
contralateral hemiplegia
global aphasia if dominant side affected

Question 10

clinical findings of anterior cerebral artery syndrome.

Answer 10

contralateral hemiparesis

abulia and akinetic mutism

Question 11

a proximal occlusion of the posterior cerebral artery will cause what clinical effects?

Answer 11

decreased pain, temperature, and abnormal sensation, proprioception

Question 12

what clinical indications will damage to the vertebral and posterior cerebellar artery supply?

Answer 12

dizziness
unsteadiness
nausea
vomitting

Question 13

dysmetria is a symptom of what cerebellar syndrome?

Answer 13

superior cerebellar syndrome

Question 14

name this syndrome: ipsilateral deafness, facial weakness, vertigo, nausea, vomitting, nystagmus, and ataxia

Answer 14

anterior inferior cerebellar artery syndrome

Question 15

where are the infarcts located for lacunar syndrome?

Answer 15

small infarcts of end arteries found in basal ganglia, internal capsule, and pons

Question 16

what is a side effect of thrombolytics?

Answer 16

hemorrhage

Question 17

what do neuroprotectives allow for?

Answer 17

minimizes the effects of ischemic cascade

Question 18

what is the treatment for intracerebral hemorrhage?

Answer 18

vitamin k/plasma coagulation factors, decrease HTN

Question 19

what occurs when hemorrhagic CVA affects putamen?

Answer 19

loss of regulation of movement
contralateral sensorimotor deficit
visual field loss

Question 20

what occurs when hemorrhagic CVA affects thalamus?

Answer 20

sensory losses and dysesthesias are common

Question 21

what occurs when hemorrhagic CVA affects cerebellum?

Answer 21

ataxia

Question 22

what occurs when hemorrhagic CVA affects pons?

Answer 22

coma, quadriparesis

Question 23

which hemorrhagic CVA mimics a subarachnoid hemorrhage? what other s/s arise?

Answer 23

Caudate

headache, vomitting, loss of consiousness

Question 24

what occurs when hemorragic CVA affects the internal capsule?

Answer 24

motor and sensory loss, ataxia

Question 25

what is common for a lobar hemorrhagic stroke?

Answer 25

seizures

Question 26

Name this hemorrhage: tears the veins between the brain surface and the dural sinus

Answer 26

subdural hemorrhage

Question 27

name this: thunderclap with searing pain.

Answer 27

subarachnoid hemorrhage