Stroke Flashcards
a) Frontal lobe
b) Parietal lobe
c) Temporal robe
a) problem solving
emotional traits
speaking
b) Knowing right from left
body orientation
c) understand language
behavior
memory
hearing
a) Occipital
b) Cerebellum
c) Brain stem
a) Vision
Color
b) Balance
Fine muscle control
c) breathing
Body temp
Swallowing
Risk factor
Non-Modifiable
Inc w/ age
Blacks, Hispanics, Native American, Asian American
Family HX
Risk factor
Modifiable
HTN
Smoking
Alcohol
Low activity level
DM
Obesity
Energy drink
A fib
MI
Cardiomyopathy
Oral contraceptives
-who smoke/htn
Manifestation
Right side
-Left side neglect
-impaired judgment
-lmparied impulse control
-impaired time
-Short attention span
Manifestation
left side
-Paralysis on right side
-Impaired speech/language
(Left=Language) aphasia
-Slow, cautious
-Aware of deficits/depression
Ischemic
Thrombotic?
blood clots in cerebral artery
Blood vessel injury & blood clot formation
Most common
d/t HTN,DM,hyperlipidemia
Ischemic
Embolic?
-Embolus lodges occludes cerebral
-Most embolus comes from the heart and travels to the brain
-caused by a fib, MI
Atrial fibrillation (AFib)?
An irregular and often very rapid heart rhythm.
AFib can lead to blood clots in the heart
a) Intracerebral
b) Subarachnoid
a) when bleeding in the brain caused by blood rupture
caused by HTN
inc intracranial pressure
most will die
b) bleeding into the CFS-filled space
rupture of cerebral aneurysm
s/s non until the rupture, death instantly
Diagostic
Non-contrast CT
To identify hemorrhagic or ischemic
Dysphagia
a) what that is?
b) nursing management
-difficult swallowing
-NPO until swallow study done with SLP
-Inspect mouth to make sure food isn’t stuck(assess food pocketing)
-OOB meal sitting up light
-Chin tuck,eat on the unaffected side
-Pulmonary hygiene(spirometer)
a) Aphasia?
b) Wernicke’s/Receptive
c) Broca’s/Expressive
d) Global
a) Muscle problem
Difficulty speaking, but understand everything
b) Words don’t make sense, reading/writing impaired
c) Vocabulary limited, can read but writing limited
d) most severe, understand little or no spoken language
Aphasia
Nursing care
-Decrease environment stimuli
-Speak with a normal voice
-Keep questions simple yes/no
-Allow time to process & respond
-Praise!
-Picture boards
-show me…..
Nursing care, what to do?
a) Prevent pressure injury
b) sholder subluxation
c) Planter flextion
a) position the pt i the weak side for only 30 minutes, change position every 2hr
b) DO not pull pt’s sholder
c) posterior leg splints, footboard, or high-top tennis Shouse
