CVA (7.5%) Hemorrhagic Disorders (5%)

Question 1

Ischemic stroke

Def: S/S: plateaus ?

Answer 1

Sudden loss of function resulting from disruption of blood flow to a part of the brain

Numbers/ weakness of face, arm, leg especially on one side of the body, trouble speaking, trouble walking, confusion

Plateaus at 6 months

Question 2

Hemorrhagic stroke

Def: S/S: plateaus:

Answer 2

Caused by bleeding into the brain tissue, ventricles or subarachnoid space

Exploding headache
Decrease LOC

Plateaus at 18 months

Question 3

Diagnostic

Answer 3

CT scan / MRI

Ischemic
ECG
Transesepohagel echocardiogram

Hemorrhagic
Cerebral angiography

Question 4

L vs R side CVA

PRASS. PLIIS

Answer 4

LEFT SIDE
Paralysis/ weakness in right side
Right visual field Defect 
Aphasia 
Altered intellectual ability 
Slow cautious behavior 

RIGHT SIDE
Paralysis/weakness in left side
Left visual field sect 
Spatial perception Defect
Increase distractibility
Impulsive behavior

Question 5

Medication management

Answer 5

Antiplatet
Anticoagulant
Low dose aspirin
t-PA

Question 6

Factors

Answer 6

Age >55
Men higher risk 
Cardiac dieases
Cocaine/ alcohol use 
Obesity 
Hyperlipidema 
Smoking

Question 7

Postpartum hemorrhage

Answer 7

Interventions
Massage fundus
Drugs - methergine, oxytocin, misolrostol

Question 8

Assessment PP hemorrhage

Answer 8

Tone-distended bladder
Tissue-clots, separation of placenta
Trauma- hematoma, prolonged labor
Thrombin- blood clotting problems