Stroke Flashcards

1
Q

stroke

A
  • A sudden attack of weakness or paralysis occurs when blood flow to an area of the brain is interrupted
  • death of brain cells that occurs when there is ischemia to a part of the brain or hemorrhage into the brain
  • Damage is irreversible
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2
Q

ischemic stroke

A
  • The most common type of stroke in older people
  • occurs when the flow of blood to the brain is blocked by the narrowing or blockage of a carotid artery.
  • 83% of strokes are ISCHEMIC
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3
Q

hemmorragic stroke

A
  • bleeding into the brain tissue or subarachnoid space
  • 17% of strokes are hemorrhagic
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4
Q

Transient Ischemic Attack (TIA)

A
  • a temporary focal loss of neurological function caused by ischemia of one of the vascular territories of the brain
  • lasting less than 24 hrs, often lasts less than 15 minutes
  • Effects:
    motor
    sensory
    speech/language
    vision
    cerebellar disturbances
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5
Q

Risk factors for stroke

A
  • Hx of TIA
  • Prior stroke
  • Old age
  • High blood pressure (HT)
  • Smoking or tobacco use
  • Diabetes
  • Overweight or Obesity
  • Excessive alcohol
  • Certain medications (stimulants)
  • Inactivity
  • Atherosclerosis
  • Heart disease
  • Atrial fibrillation (Afib)
  • Blood disorders
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6
Q

Right side of brain

A

controls emotional expression
spatial perception
recognition of faces
patterns
melodies,

  • Creativity
  • Imagination
  • Music and Arts
  • A patient with a right-side stroke may suffer from emotional lability, which includes involuntary outbursts of emotion - a right-brained task.
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7
Q

Left side of brain

A
  • Logic
  • Analysis
  • Sequencing
  • Mathematics
  • Language
  • Critical thinking
  • Reasoning
  • Thinking in words
  • A patient with left-side stroke may suffer from aphasia, the inability to understand or express language - a left brain task.
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8
Q

Signs and symptoms of a stroke

A
  • paresthesia (numbness, tingling, burning)
  • Weakness or paralysis of the limbs
  • Aphasia (impairment of language expression and understanding)
  • Confusion
  • Visual Disturbance in one or both eyes
  • Dizziness
  • Loss of balance and coordination
  • headache
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9
Q

Early warning signs of a stroke

A
  • balance issues
  • eyesight issues
  • facial drooping
  • arm weakness
  • slurred speech
  • co-ordination
  • dizziness
  • headache
  • paresthesia (numbness, tingling, burning)
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10
Q
  1. Hemiparesis
A

weakness of one entire side of the body

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11
Q
  1. Hemiplegia
A

complete paralysis of half of the body

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12
Q
  1. Aphasia
A

an impairment of language, affecting the production or comprehension of speech and the ability to read or write

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13
Q
  1. Dysarthria
A

difficult or unclear articulation of speech. It results from impaired movement of the muscles used for speech production, including the lips, tongue, vocal folds, and/or diaphragm.

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14
Q
  1. Dysphagia
A

difficulty or discomfort in swallowing

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15
Q
  1. Apraxia
A

a motor disorder where the patient has difficulty with the motor planning to perform tasks or movements despite intact motor function.

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16
Q
  1. Homonymous hemianopia
A

a condition in which a person sees only one side―right or left

17
Q
  1. Horner Syndrome
A

caused by the disruption of a nerve pathway from the brain to the face and eye on one side of the body. Normally, patients with Horner syndrome have the following- decreased pupil size, a drooping eyelid and decreased perspiring on the affected side of the face.

18
Q
  1. Agnosia
A

inability to interpret sensations and hence to recognize things

19
Q
  1. Unilateral neglect
A

failure to report or respond to stimuli presented from the contralateral space, including visual, somatosensory, auditory, and kinesthetic sources

20
Q

Medical interventions for stroke

A
  • Early diagnosis
  • Maintain cerebra oxygen
  • Restore cerebral flow
  • Prevent complications- bleeding, cerebral edema
  • Prevention of a second stroke
  • Rehabilitation- focus on maximizing patients physical and cognitive recovery
  • Patient and family education
21
Q

Nursing interventions for stroke

A

Nurse:
- Frequent neurological assessments
- Fall prevention measures
- Prevent aspiration
- HOB at 30 degrees (increase venous return)
- initiate DVT prophylaxis (mechanical & chemical)
- Prevent edema
- Facilitate safe swallowing
- Monitor vital signs
- prevent skin breakdown
- regular position changes in bed
- ambulate the pt standing on their weaker side

For patient:
Teaching/ education on:
- assistive ambulatory devices
- nutrition
- rehab
- promote family coping and communication

22
Q

treatment of TIA’s

A

antiplatelet agents reduces the risk of stroke

23
Q

treatment for ischemic stroke

A

TPA (tissue plasminogen activator) should be administered within 4.5 hours

24
Q

FAST

A

FACE
ARMS
SPEECH
TIME