Strokes Flashcards
1
Q
Ischemic Stroke
A
Caused by Thromotic or embolic event; artery blocked, blood can’t perfuse, becomes ischemic
2
Q
Hemorrhagic stroke
A
Caused by aneurysm, HTN, and arteriovenous malformation
3
Q
Major warning sign of stroke
A
Transient Ischemic Attack
4
Q
therapy for thrombotic stroke
A
Pt prereqs:
- Not having an active bleed
- No stroke or surgery in last 3 months
- No Significant trauma
- 2 sites of IV access
Thrombolytics -Anistrplase -Retiplase Streptase -t-Pa
Anticoagulants
- Heparin/warfarin
- Xarelto
- Eliquis
- Lovenox
Antiplatelet:
-Plavix
Antiepileptics (Lorazepam)
Ca channel blockers
Stool softeners (no bearing down)
Analgesics for pain
Antianxiety drugs
5
Q
Nursing interventions for stroke
A
Monitor ICP
Monitor albumin and glucose (fluid shift)
Monitor safety regarding:
- Unilateral neglect
- Poor vision
- Low mobility
- Swallowing issues
- Elimination issues
6
Q
Medical stroke management
A
Thrombolytics
Surgery:
- Carotid angioplasty w/stent (scrapes plaque out)
- Endarterectomy
- Clipping of aneurysms
- craniotomy: remove clots, relieve pressure
- Extracranial-intracranial bypass
