Stroke Flashcards

1
Q

Stroke

A

occurs when there is ischemia to a part of the brain that results in brain cells

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2
Q

Stroke precursor

A

coronary artery disease

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3
Q

Factors effecting blood flow to brain

A

systemic BP
cardiac output
blood viscosity

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4
Q

Collateral Circulation

A

another way that the body compensates or manages risk factors

more than one way for the brain to be perfused

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5
Q

Risk factors of Stroke

A

Non-modifiable

  • age (>65)
  • gender (male)
  • race
  • family hx

Modifiable

  • smoking
  • alcohol
  • obesity
  • inactivity
  • high cholesterol
  • oral contraceptives
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6
Q

Contributing factors of stroke

A

HTN!!!!

Diabetes, Heart disease

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7
Q

Crushing triad

A

What stroke causes

Increased SBP
Decreased P
Decreased RR

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8
Q

Ischemic strokes

A

TIA
Thrombotic
Embolic

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9
Q

Hemorrhagic strokes

A

Intracerebral

Subarachnoid

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10
Q

Transient Ischemic Attack (TIA)

A

precursor to ischemic stroke

temporary loss of neuro function

caused by microemboli

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11
Q

Thrombotic

A

narrowing of artery by plaque that blocks the passage of blood

symptoms slow

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12
Q

Embolic

A

Blood clot or other debris circulating in blood and then lodges

symptoms are sudden

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13
Q

Intracerebral

A

occurs during activity
HTN risk factor
sudden onset with progressive symptoms b/c of bleeding

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14
Q

Subarachnoid

A

intracranial bleeding into CSF space

rupture of cerebral aneurysm

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15
Q

Manifestations of stroke

A

Motor function (akinesia/swallowing)
Affect (emotions)
Spatial receptable alteration (agnosia apraxia)
Elimination

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16
Q

Diagnostics Stroke

A

CT
MRI
CTA (vasculature of brain)
Cerebral carotid angiography

17
Q

Lab work stroke

A

troponin, lipid profile

18
Q

Further assessment diagnostics

A

ECG
Chest x-ray
cardiac markers
echocardiograms

19
Q

Collaborative Care

A

lifestyle changes
Pharmacological
Surgical

Goal: preserving life, preventing further brain damage, reduce disability

20
Q

Pharmacological interventions

A

antiplatelet

anti-cholesterol (statins)

21
Q

Surgical interventions

A

carotid enterectomy
transluminal angioplasty
stenting
extracranial-intracranial bypass

22
Q

Increased ICP interventions

A

elevate HOB
provide O2
promote rest and reduce stimulation
avoid postures that restrict venous return