Stroke

Question 1

Risk Factors of stroke:

Answer 1

Modifiable and Non-modifiable

Atherosclerosis
Hypertension
Anticoagulation therapy
Diabetes mellitus
Stress
Obesity
Oral contraceptive

Question 2

Interventions for unconsciousness following stroke

Answer 2

Phase 1: initial care
Maintain an adequate airway
Establish baseline data regarding vital signs, level consciousness, neuromuscular function, and neurologic status
Preserve joint and muscle function
Prevent complications that may interfere with rehabilitation.

PHASE 2: Rehabilitation efforts
Plans for rehab should begin the moment the patient is admitted.
Various members of the health care team collaborate with the patient and family to help resolve both psychological and physical problems.
Patients who have had strokes can be prone to rapid mood swings and spontaneous weeping.

PHASE 3: Continuity of Care
Discharge and referrals
Visiting nurse
Continued rehabilitation

Question 3

Stroke referrals

Answer 3

Rehabilitation specialist
Physical therapist
Speech & Language therapist
Mental health professionals

Question 4

Complications of stroke and dysphagia

Answer 4

Extension of hemorrhage or rebleed, seizures, hydrocephalus (xtra fluid in CSF cavities)

Further bleeding and rise of ICP (normal 7-15mm Hg)

Falls, depression, UTI, Pneumonia, Peripheral neuropathy

Stroke leading cause of death for Americans

Comparison of deficits and behavioral related to damage to the left and right sides of the brain.

• HH is a symptom that makes you see only one side - right or left - of the visual field of each of your eyes.

“Homonymous” In this context means “the same side of both eyes”

“hemianopia” sometimes spelled hemianopsia means half vision loss

Teach patients where to look and move their head