Stroke Flashcards
Ischemic
Thrombotic and embolic clots
Hemorrhagic
Intracerebral and subarachnoid bleeding
Modifiable risk factors
Diet Weight Regular exercise No smoking and limit alcohol BP
What is common immediately after stroke?
Elevated BP
Stent retrievers
Most effective way of managing ischemic stroke
Surgical interventions to treat hemorrhagic stroke
Resection
Clipping of aneurysm
Evacuation of hematoma
Rehab
After stroke stabilized for 12-24 hrs
-lessening disability
Primary assessment is focused on
Cardiac status
Respiratory status
Neuro
Risk fors respiratory system
Atelectasis
Aspiration pneumonia
Airway obstruction
Endotracheal intubation and mechanical ventilation
Optimize musculoskeletal function
Trochanter roll at hip
Hand cones
Arm supports with slings and lap boards
Visual problems
Diplopia (double vision)
Loss of corneal reflex
Ptosis (drooping eyelid)
Homonymous hemianopsia
Stroke on right side
Difficulty judging position, distance, and movement
Impulsive, impatient, and deny problems
Respond best to verbal directions
Stroke on left side of brain
Slower in organization and performance of tasks
Impaired spatial discrimination
Fearful, anxious responses to stroke
Respond well to nonverbal cues
What do most patients shows signs of within 48 hrs of stroke
Spasticity with exaggerated reflexes