reading flash cards

1
Q

what is cerebral edema

A

accumulation of fluids within the brain

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2
Q

what is a stroke

A

cessation of cerebral blood flow and oxygen-glucose deprivation sets in motion a series of pathological events.

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3
Q

what kind of stroke produce cerebral edema

A

Ischemic strokes

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4
Q

when does cerebral edema reach is max

A

3-4 day after insult

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5
Q

what is the result of cerebral edema

A

Result of tissue necrosis and widespread rupture of cell membranes with movement of fluid from the blood into brain tissues.

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6
Q

what are the Clinical signs of elevating intracranial pressure (ICP)

A

o decreasing level of consciousness (stupor and coma),
o widened pulse pressure,
o increased heart rate,
o irregular respirations (Cheyne-Stokes respirations),
o vomiting, unreacting pupils (cranial nerve [CN] III signs)
o Papilledema.

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7
Q

what is a Transient ischemic attack (TIA)

A

temporary interruption of blood supply to the brain

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8
Q

how long does a TIA last

A

Few min to hour but do not last more than 24hrs

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9
Q

what is a Deteriorating stroke

A

refers to the patient whose neurological status deteriorates after admission to the hospital.

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10
Q

what is consider a young stroke

A

less than 45 years old

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11
Q

what is - Fluent aphasia

A

wernickes

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12
Q

what is - Nonfluent aphasia

A

brocas

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13
Q

what is - Dysphagia

A

inability to swallow or difficulty in swallowing

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14
Q

Swallowing dysfunction of the oral stage whihc CN

A

CN V [trigeminal], CN VII [facial])

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15
Q

Pharyngeal stage dysphalogia - which CN

A

CN IX [glossopharyngeal], CN X [vagus], and CN XI [accessory])

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16
Q

o oral and pharyngeal dysphalogia - which CN

A

CN XII [hypoglossal])

17
Q

what does NPO mean

A

nothing by mouth

18
Q

cognitive dysfunction with stroke is associated with

A

Result of lesions affecting the prefrontal cortex, limbic system, and limbic cortex

19
Q

what stays intact STM or LTM

A

STM effect
LTM stays

20
Q

STM issue due to what area of the brain

A

lesion in the limbic system, limbic associated cortex, or temporal lobes

21
Q

LTM is due to a issue where in the brain

A

the hippocampus

22
Q

what is confabulation

A

memory gaps may be filled with inappropriate words or fabricated stories

23
Q

what is Preservation

A

the continue rep of words, thoughts, or actions that are not related to current context

the pt gets stuck

24
Q

what is the brain issue that causes preservation

A

prefrontal/premotor

25
Q

what is multi-infract dementia

A

impairments in memory and cognition, fluctuates in function

results from multiple small infarcts of the brain

26
Q

what is delirium

A

acute confusional state

Hallucinations are common

27
Q

when is delirium most often see in stroke

A

More freq seen in the acute stage of stroke

28
Q

what is Pseudobulbar affect (PBA)

A

emotional outbursts of uncontrolled or exaggerated laughing or crying that are inconsistent with mood.

29
Q

what is apathy

A

shallow affect and blunted emotional responses

29
Q

what is Euphoria

A

exaggerated feeling of well being

29
Q

what do we see with Left hemisphere lesions (right hemiplegia)

A

demonstrate difficulties in communication and in processing information in a sequential, linear manner.

(language)

30
Q

what do we see with Right hemisphere lesions (left hemiplegia)

A

demonstrate difficulty in spatialperceptual tasks and in grasping the whole idea of a task or activity. (neglect)

o Frequently described as quick and impulsive

o Tend to overestimate their abilities

31
Q

what is agnosia

A

our brain can’t recognize something, even though your senses can detect it

Loss of the ability to identify objects or people.

32
Q

Visual perceptual deficits include

A

body scheme/body image,

spatial relations,

agnosia

33
Q

what brain issue is visual perceptual deficits due to

A

right partial cortex

34
Q

what is Body scheme

A

the postural model of the body, relationship of each body part to each other

35
Q

what is Body image

A

the visual and mental image of ones’ body

36
Q

what is Spatial relations syndrome

A

group of impairments that have in common a difficulty in perceiving the relationship between the self and two or more objects in the environment.

37
Q

what is - Unilateral neglect

A

lack of awareness of part of the body or the external environment