CVA Flashcards

1
Q

CVA - aka

A

stroke, brain attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

definition

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CVA vs TIA

A

TIA-symptoms last a few minutes or a few hours; resolves quickly
CVA-symptoms last over 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TIA

A

mini strokes; can be accumulative and cause more problems; resolves itself; no necrotic brain tissue after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

prevalence

A

3rd leading cause of death in US; 600,00-800,000 per year; 30% are fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

etiology

A

hemorrhagic or ischemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

hemorrhagic

A

ruptured aneurism in a blood vessel in brain; damage to blood supply and increase pressure in brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ischemic

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

controllable risk factors

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

risks that can’t be controlled

A

age; family history; race (hispanic, native american); gender (men); prior stroke or TIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

S/S

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

outcomes improved with

A

early onset for treatment; age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

medical treatments

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly