"STROKE"CEREVRAL VASCULAR ACCIDENT/neurological emergencies cont.

Question 1

Cerebrovascular Accident (CVA) “Stroke”
A ___ neurologic disorder caused by destruction of
___ substance due to â decrease in blood flow as a result of
___ (rupture) or blockage (ischemic)-
____/___

Answer 1

focal
brain
hemorrhage
thrombosis/embolism

Question 2

Cerebrovascular Accident (CVA) “Stroke” is the __ leading cause of death in U.S 1 stroke every minute

Answer 2

3

Question 3

Who is at risk for a STROKE

Answer 3

• Atherosclerosis
• Atrial fibrilation
• Oral contraceptives and estrogen hormones
• Older women-menopause
• Diabetics
• Transient ischemic attacks/mini strokes

Question 4

2 Types of Strokes

Which is most common

Answer 4

1. Hemmorhagic Stroke
   - Intracerebral: rupture of a blood vessel within the brain
   - Subarachnoid: rupture of a blood vessel on the surface of the brain
2. Ischemic Stroke- Most common
   - Thromotic Stroke
   - Embolic Stroke

Question 5

when blood from an artery begins bleeding

into the brain.

Answer 5

Hemmorhagic Stroke

Question 6

It is usually caused by a blood clot or other substanace that blocks or plugs a blood vessel in the brain.

Answer 6

Ischemic Stroke

Question 7

Factors that could lead to hemorrhagic stroke

Answer 7

hypertension
anticoagulation
tumor
substance abuse
aneuysm
increased risk for falling-injury

Question 8

** Stroke mimics ____!What do you do to rule out

Answer 8

hypoglycemia

Test blood glucose

Question 9

What is the simple stroke test: American Stroke Association

Answer 9

Face: Can they smile. Has there face fallen on one side?
Arms: Can they raise both hands and keep them their?
Speech: Is there speech slurred
Time: Time to call 911 if they show signs

Question 10

Treatment for stroke in hospital

Answer 10

• CT scan to determine etiology
• Hemorrhagic- consultation with neurosurgeon for surgery
• Ischemic: <3 hours onset of symptoms then IV throbolytic therapy with altaplase (r-tPA) removes thrombus or embolus to restore blood flow
• Ineffective after 3 hours
• Contraindicated for hemorrhagic CVA