W5: stroke

Question 1

when does stroke happen?

Answer 1

Stroke happens when there is ischemia (inadequate blood flow to an area)

ischemia occurs in parts of the brain –> death of brain cells

===> loss of Movement, sensation (cảm giác), or emotions

Question 2

what happen if the blood is interrupt or stop?

Answer 2

Neurologic communication system is altered in 30 seconds
Overall body cell communication stops in 2 minutes
Cell death occurs in 5 minutes

Question 3

what is a major cause of stroke?

Answer 3

Vascular disease (atherosclerosis) is a major cause of stroke

• > Can lead to thrombus formation (clot : cục máu đông))
• > Broken off pieces of clots flow through the circulatory system

Question 4

what is important thing if we recognize the stroke?

Answer 4

• The patient could have less brain damage If adequate blood flow can be restored early (<3 hours)
• get the patient to hospital quickly
• Anticoagulants (blood thinners) (chất làm loãng máu)

Question 5

Causes of Strokes

Answer 5

• 85 % Ischemia (decrease blood supply) due to:
• Thrombus
  Blood Clot
  Formed Due To Hypertension, Cholesterol, DIABETES
• Emboli
  Particles of the blood clot lodge in a small blood vessel causing stoppage of blood flow
• 15% Other type: hemorrhage (xuất huyết)
  -Direct blood into brain tissue caused by rupture (=break) of blood vessels
  -Due to hypertension, aneurysm (phình động mạch)

Question 6

how long If the patient survives then death from stroke is reduced

Answer 6

the first 72 hours

Question 7

what should we do when the stroke happens?

Answer 7

F.A.ST. (Face, Arms, Speech, Time)

face : is it drooping?
can you raise your arms?
is speech slurred or jumbled (lôn xôn)?
to call 9-1-1 right away.

Question 8

risk factors of stroke?

Answer 8

age
gender
race
heredity (di truyền)
Diabetes
vascular disease
alcohol consumption
High Cholesterol
Vascular Conditions (cool hand, cool feet)
hypertention
obesity
smoking
physical inactivity
sickle cell disease
Oral Contraceptive Use (thuốc tránh thai)

Question 9

3 types of stroke’s effects on communication ability?

Answer 9

• Aphasia: UNABLE to speak and understand
• Dysphasia: DIFFICULT to speak and understand
• Dysarthria: difficult to move muscle when speak –> pronoun unclearly.

Question 10

if the patient have weaker aim, what should we do when dressing?

Answer 10

Always dress weaker arm first

Question 11

with the client who have stroke, how often to go to toilet

Answer 11

every 2 hours