Stroke Managaement And Care

Question 0

Medical interventions for strokes

Answer 0

Anticoagulants
Ca Chanel blockers
Platelet inhibitors
Thrombolytics therapy

Question 1

What are the three types of care you want to preform for a stroke pt.

Answer 1

Preserving life
Preventing farther brain damage
Reducing disability

Question 2

How soon must thrombolytics be given with onset of symptoms

Answer 2

Within 3 hours and only for ischemic stroke

Question 3

What is important about interventional neuroradiology

Answer 3

You MUST know when symptoms begin in order to be a candidate for this

Question 4

What surgeries are there for stroke pts

Answer 4

Carotid endarterectomy
Take out hematoma
Aneurysm clipping
Avm repair (malformation of artery or vein needs repaired)

Question 5

Neuro assessment of a stroke pt.

Answer 5

Loc 
Pupils
Mental status
Movement/muscle strength 
Reflexes
Sensory
Visual fields

Question 6

Initial intervention for a stroke patient

Answer 6

Patent airway

Question 7

Other initial interventions for a stroke patient

Answer 7

Remove dentures 
Pulse ox and vitals 
Iv access
Elevate head of bed 30 degrees (decreases pressure in brain) 
Initiate seizure precautions

Question 8

Keep stroke patient NPO until what is confirmed

Answer 8

Swallowing and gag reflex

Question 9

What should you do to help a stroke patients family

Answer 9

Explain everything and give support and reassurance

Question 10

Goals of respiratory care for a stroke patient

Answer 10

Maintain airway 
Suctioning
Side-lying 
Assess swallowing to prevent aspiration 
Monitor breath and keep pulse ox normal 
Head of bed 30 degrees

Question 11

Goals of musculoskeletal for a stroke patient

Answer 11

Maximize muscle function, prevent deformity

Passive ROM exercises

Question 12

Fluid and electrolytes for stroke patient

Answer 12

I&O monitoring
AVOID FLUID OVERLOAD
prevent dehydration

Question 13

Skin care for stroke patient

Answer 13

Do not position on paralyzed side for >30 minutes
Do not massage
Use special air mattress and bed
KEEP SKIN CLEAN AND DRY

Question 14

What should you know about feeding a stroke patient

Answer 14

Place in high fowlers position with head flexed forward 
Positive protein balance
Avoid puréed foods
Place food on unaffected side 
Mouth care before and after

Question 15

What is another name for a gastrostomy tube

Answer 15

Peg tube

Question 16

For stroke patients bowel control is important what can you do to prevent constipation

Answer 16

High fiber diet

Try to teach toileting

Question 17

How can you help with urinary elimination for a stroke patient

Answer 17

Avoid indwelling catheter
Palate bladder frequently to check for bladder distention
Toileting patient up to q 2 h if possible

Question 18

Neglect syndrome is a symptom of stroke on which side of the brain

Answer 18

Right side

Question 19

What kind of questions should you ask to a stroke patient: simple or complex

Answer 19

Simple, yes or no

Easier for them to answer

Question 20

When do you start rehab for a stroke patient

Answer 20

On admission

Question 21

Aphasia is a symptom of what sided stroke

Answer 21

Left

Question 22

Left Homonymous hemianopia is a symptom of what sided stroke

Answer 22

Right

Question 23

Agnosia (object recognition) is a symptom of what sided stroke

Answer 23

Right (could be left)

Question 24

Quick and impulsive behavior is a symptom of what sided stroke

Answer 24

Right

Question 25

Inability to remember words is a symptom of what sided stroke

Answer 25

Left

Question 26

Neglect to the left side of the body is an example of what aside stroke

Answer 26

Right