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Med-Surg NU 207 spring 2015 > Ischemic CVA > Flashcards

Ischemic CVA Flashcards

1
Q

3 causes of Ischemic CVA

A

thrombotic (most common d/t plaque built up)
embolism (clot traveled)
systemic hypoperfusion (clots not involved but lack of blood=insufficient blood to brain)

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2
Q

The intake of cocaine vasoconstricts causing the stroke in which type of Ischemic CVA?

A

systemic hypoperfusion

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3
Q

give the two types of CVAs

A

ischemic and hemorrhagic

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4
Q

ischemic CVAs account for what percentage of CVAs?

A

80%

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5
Q

hemorrhagic bleeds account for what percentage of CVAs?

A

20%

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6
Q

give the patho for CVAs

A

lack of blood supply to the brain

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7
Q

in which ischemic CVA are clots not involved in?

A

systemic hypoperfusion

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8
Q

which CV is classified a very specialized and has specific S&S?

A

hemorrhagic CVA

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9
Q

what is the common cause of intracerebral bleeding?

A

hypertension

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10
Q

what is the bleeding classified as when it is inside the brain tissue/ruptures/bleeding occurs?

A

intracerebral

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11
Q

what is bleeding in the meninges classified as?

A

subarachnoid hemorrhage

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12
Q

give the locations where the subarachnoid hemorrhage occurs

A

between the skull and brain

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13
Q

why is a subarachnoid hemorrhage difficult to control?

A

because it is closer to the brain

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14
Q

what can subarachnoid hemorrhage mimick?

A

menigitis

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15
Q

what does SAH (subarachnoid hemorrhage) irritate?

A

irritates the meninges

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16
Q

the sign and symptoms of SAH

A
  1. sudden severe HA
  2. Nuchal rigidity
  3. Brudzinski’s sign
  4. Kernig’s sign
17
Q

name the S&S of ICP

A
  1. decreased LOC and responsiveness
  2. fixed, dilated pupils
  3. VS: increased BP, decreased HR, widened pulse pressure meaning increased systolic and decreased diastolic
  4. Projectile vomiting
  5. Hiccups
18
Q

name the two areas a hemorrhagic CVA can occur and what it causes

A

intracerebral
subarachnoid
causes increased ICP

Med-Surg NU 207 spring 2015 (6 decks)

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