Unit 14 - Stroke/CVA Flashcards

1
Q

5th leading cause of death in the US

A

stroke

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2
Q

a condition in which neurological deficits result from

a sudden decrease in blood flow to a localized area of the brain

A

stroke (also known as a cerebrovascular accident or brain attack)

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3
Q

Strokes may be _____, occurring when the blood supply to a part of the brain is suddenly interrupted by a thrombus (blood clot), embolus (foreign matter traveling through the circulation), or stenosis (narrowing);

A

ischemic

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4
Q

Strokes may be _____, occurring when a blood vessel breaks open, spilling blood into spaces surrounding neurons.

A

hemorrhagic

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5
Q

~87%of all strokes are_____

A

Ischemic

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6
Q

Blood flow to the brain is blocked

Usually a thrombus or embolism, or stenosis ( build up of plaque) that causes infarction of brain tissue

A

ischemic

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7
Q

High _____ _____, high _____, _____, _____, & _____ are leading causes of stroke

A
blood pressure
cholesterol
smoking
obesity
diabetes
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8
Q

*manifestation of ischemic stroke

A

numbness or weakness

- face, arm, or leg, especially on one side

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9
Q

FAST

A

Face
Arm
Speech
Time: call 911

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10
Q

Bleeding into brain tissue/ ventricles / subarachnoid space

A

hemorrhagic stroke

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11
Q

Spontaneous rupture of small vessels primarily related to

A

hemorrhagic stroke

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12
Q

Spontaneous rupture of small vessels primarily related to:

  • hypertension
  • Subarachnoid or intracranial hemorrhage caused by a ruptured _____
  • intracerebral hemorrhage related to _____ _____ (proteins called amyloid build up on the walls of the arteries in the brain weakening walls)
  • arterial venous _____ (AVMs)
  • medications such as _____
A

aneurysm
amyloid angiopathy

malformations
anticoagulants

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13
Q

hemorrhagic clinical manifestations

A

severe headache

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14
Q
  • Temporary neurologic deficit resulting from a temporary impairment of blood flow ( must return to normalcy within 24 hrs.)
  • Diagnostic workup is required to treat and prevent irreversible deficits/ prevent future stroke.
A

Transient Ischemic Attack

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15
Q

_____ _____ is a key

A

quick action

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16
Q

paralysis one side

A

Hemiplegia

17
Q

numbness one side / interchangeable with hemiplegia

A

Hemiparesis

18
Q

difficulty with speech

A

Dysarthria

19
Q

vision affect one side

A

Hemianopsia

20
Q

inability to recognize things / interpret sensations

A

Agnosia

21
Q

2 types of aphasia

A

expressive

receptive

22
Q

time =

A

brain

23
Q

anticoagulant therapy: warfarin, heparin, lovenox

A

ischemic stroke

24
Q

fibrinolytic therapy

A

thrombotic stroke

25
Q

_____ is a common electrolyte disorder encountered in patients of neurological disorders which is usually either due to inappropriate secretion of Antidiuretic hormone (SIADH) or cerebral salt wasting syndrome (CSWS)/endocrine condition featuring a low blood sodium concentration and dehydration in response to trauma/injury or the presence of tumors in or surrounding thebrain.

A

Hyponatremia

26
Q

In acute phase of ICP, providing a nonstimulating environment prevents further _____

A

bleeding