Stroke

Question 1

What are some non modifiable risk factors for a stroke?

Answer 1

Age, gender, race, heredity/family hx

Question 2

What are some modifiable risk factors?

Answer 2

Smoking, HTN, heart disease, ETOH, poor diet, drugs, obesity, sedentary, metabolic syndrome.

Question 3

If blood flow to the brain is completely interrupted than how long will it take for cellular death?

Metabolism stops in how long?

Neurologic metabolism is altered in how long?

Answer 3

5 minutes.

2 minutes

30 seconds

Question 4

How does the brain auto regulate if stroke occurs?

Answer 4

Changes BP and blood vessel diameter.

Question 5

How quickly do most TIA’s resolve?

Answer 5

3 hours.

Question 6

TIA’s will cause what?

Answer 6

Temporary loss of neurologic function.

Question 7

What are the two types of ischemic strokes?

Answer 7

Thrombotic and

Embolic

Question 8

What is a thrombotic stroke?

Answer 8

Plaque narrows the artery then clot can form.

Question 9

What is an embolotic stroke?

Answer 9

Traveling clot, then gets lodged in a vessel thats too narrow.

Question 10

80% of all strokes are?

Answer 10

Ischemic

Question 11

What is the most common cause of hemorrhagic stroke?

Answer 11

HTN

Question 12

How fast should a CT be obtained when pt arrives to ER?

Answer 12

Within 25 minutes.

Read within 45 minutes, to determine what type of stroke and location.

Question 13

What are the most obvious effects of a stroke?

Answer 13

Impaired:

Mobility, resp function, swallow and speech, gag reflex, self care abilities.

Question 14

How soon must tPA be given after onset of symptoms?

Answer 14

Within 3 hours. Not for a hemorrhagic stroke.