H Flashcards
Risk factors of stroke
Non modifiable
Age >55
African American
Previous stroke
Fhx of stroke
Previous episode of TIA
Modifiable
Hypertension
Dm
Heart disease obesity
Smoking
Alcoholic
Define cva stroke
Rapidly developing clinical signs of focal or global disturbances of cerebral function with symptoms lasting 24hrs or more or leading to death with no apparent cause other than vascular origin
Types of stroke
Ischemic: when a clot clogs a blood vessel courting blood flow to the brain usually by atherosclerosis
Hemorrhagic : result from weakens blood vessels that ruptured and bleeds into the brain , onset is sudden usuall hypertension types: intracerebral , subarachnoid
Signs and symptoms of sudden onset of stroke
LOC
FACE IS RED
BREATHING IS NOISY
PULSE IS SLOW
ELEVATED BP
MAYBE IN DEEP COMA
Common stroke symptoms
Weakness
Numbness
Vision changes
Speech problems
Swallowing difficulties
Loss of memory
Vertigo
Loss of balance
Eyelid drooping
Differences btw I AND H STROKE
CHATCHOV
Conscious
Headache
Activity
TIA
Csf
Hypertension
Onset and vomiting
ALL ARE MORE IN H ONLY TIA AND IS HEMIC STROKE
Complications of stroke
Aphasia
Dysphasia
Blindness
Depression
Bed sores
Brain damage
He Iola his
Apathy
Personality changes
Dx of stroke
Phy exam
Ct scan
MRI
Angiography
Causes of stroke in young
DIC
HIV
DRUG ABUSE
SNAKE BITE
CEREBRAL MALARIA
NEUROCYSTICERCOSIS
Ischemic stroke emergency management
Call for help
ABC of resuscitation
Quick hx
Set line for iv and sample collection
Xray, ct ,
Paul’s tubbing to collect urine Samples
If onset is within 4hrs give thrombolytics like tenectaplase
After 4 hrs anticoagulant and antiplatelets are given
If MAP >150 IV LEBETALOL
If MAP 130-149 oral ace or ccb
Tx underlying cause
Statins for lipdemia
Control blood glucose dm
Mannitol if cerebral edema
Nurse pt in in 30 degrees elevated position
Prevent bed sores
