CVA CAT Flashcards

1
Q

What causes a stroke?

A

Interruption of blood flow to the brain

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2
Q

Stroke in evolution

A

Infarct slowly progresses over 1-2 days

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3
Q

Completed stroke

A

An abrupt a=infarct w/ immediate neurological deficits

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4
Q

Types of strokes

A
  • Ischemic
  • Hemorrhagic
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5
Q

Types of Ischemic strokes

A
  • Thrombus
  • Embolus
  • Lacunar
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6
Q

Thrombus stroke

A

-

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7
Q

Embolus stroke

A

-

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8
Q

Lacunar stroke

A

-

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9
Q

Types of Hemorrhagic strokes

A
  • Intracerebral
  • Subdural
  • Subarachnoid
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10
Q

Intracerebral stroke

A

-

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11
Q

Subdural stroke

A

-

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12
Q

Subarachnoid stroke

A

-

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13
Q

Modifiable risk factors for stroke

A
  • Hypertension (most prevalent)
  • Atherosclerosis
  • Heart disease
  • Diabetes
  • Elevated cholesterol
  • Smoking
  • Obesity
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14
Q

Non-modifiable risk factors for stroke

A
  • Age (greatest one, age 65+)
  • race
  • Family history
  • Sex
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15
Q

Typical characteristics of a stroke

A
  • Hemiplegia
  • hemiparesis
  • Sensory, visual, and perceptual impairments
  • Balance abnormalities
  • Dysphagia
  • Aphasia
  • Cognitive deficits
  • Incontinence
  • Emotional lability
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16
Q

Labs/imaging w/ stroke

A
  • CT to confirm area of infarct
  • MRI for diagnosis of ischemia w/in brain
  • Positron emission tomography gives info about cerebral perfusion and cell function
  • Ultrasound for blood flow examination
  • Angiography can ID a clot
17
Q

Common presentation w/ L CVA

A
  • Weakness/paralysis to R side
  • Impaired processing
  • Heightened frustration
  • Aphasia
  • Dysphagia
  • Motor apraxia
  • R hemianopsia
18
Q

Common presentation w/ R CVA

A
  • Weakness/paralysis to L side
  • Poor attention span
  • Impaired awareness and judgement
  • Spatial deficits
  • Memory deficits
  • Left inattention
  • Emotional lability
  • Impulsive behavior
  • L hemianopsia
19
Q

Pharmacological management of of CVA

A
  • Thrombolytic agents
  • Anticoagulants (contraindicated for hemorrhagic CVA)
  • Diuretics
  • Antihypertensives
20
Q

PT management of CVA

A
  • NDT
  • Motor control
  • PNF
  • Improve function