Stroke

Question 1

what is a hemorrhagic stroke?

Answer 1

a hemorrhagic stroke is a ruptured artery or aneurysm–> bleeding in the brain

Question 2

what medication can be given to treat an embolic stroke?

Answer 2

give alteplase within 4 an a half hours . If the medication is given after this time, it will literally blow a hole in the brain

Question 3

what are risk factors for stroke?

Answer 3

Afib and hypertension

Question 4

what are clinical manifestations of left sided stroke?

Answer 4

1. aphasia
2. agnosia
3. alexia
4. agraphia
5. anhedonia
6. right extremity paralysis or weakness

Question 5

what is aphasia?

Answer 5

inability to speak or understand language

Question 6

what is agnosia?

Answer 6

inability to recognize objects

Question 7

what is alexia?

Answer 7

difficulty writing

Question 8

what are clinical manifestations of right sided stroke?

Answer 8

1. overestimation of abilities
2. unilateral neglect
3. visual changes
4. poor impulse control and judgement
5. weakness or paralysis of left side

Question 9

what diagnostic test must be done if a patient is suspected of having a stroke?

Answer 9

CT scan to assess for brain bleed. if not present, assume ischemic stroke and give alteplase. if present, assume hemorrhagic stroke and prepare patient for a craniotomy