CVA Flashcards
CVA - aka
stroke, brain attack
definition
sudden death of brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain
CVA vs TIA
TIA-symptoms last a few minutes or a few hours; resolves quickly
CVA-symptoms last over 24 hours
TIA
mini strokes; can be accumulative and cause more problems; resolves itself; no necrotic brain tissue after
prevalence
3rd leading cause of death in US; 600,00-800,000 per year; 30% are fatal
etiology
hemorrhagic or ischemic
hemorrhagic
ruptured aneurism in a blood vessel in brain; damage to blood supply and increase pressure in brain
ischemic
embolus developed from areas of atherosclerosis of the large blood vessels traveling to small blood vessels in the brain resulting in anoxia and tissue necrosis
controllable risk factors
HTN; smoking; DM; diet; sedentary; obesity; high cholesterol; CAD; PAD (primary for pulmonary embolism); AFIB (not really moving blood out of heart); heart disease; alcohol abuse; drug abuse
risks that can’t be controlled
age; family history; race (hispanic, native american); gender (men); prior stroke or TIA
S/S
facial droop on one side; headaches; blurred vision; speech deficits (dysphasia); swallowing deficits (dysphagia); weakness/tingling one side; confusion/disorientation; balance deficits; neglect (forget about one side of the body); proprioception loss
outcomes improved with
early onset for treatment; age
medical treatments
goal is within 90 minutes of onset of symptoms; ischemic CVA-treated with anticoagulates; hemorrhagic-focus is on controlling HTN and bleeding in the brain; d-dimer test or MRI