Types of Strokes
About 80% of strokes make up this type that is caused by an occlusion of a cerebral artery.
What is ischemic stroke
Difficulty swallowing that can lead to aspiration.
What is Dysphagia
Mechanical retrieval of the occlusion in a cerebral artery that is done within 24hrs of symptom onset.
What is EVT (Endovascular thrombectomy)
Once a stroke is diagnosed the Nurse must use this screening tool before the patient can take anything by mouth (including medication).
What is a S.T.A.N.D. (screening tool for acute neurological dysphagia)
Approximately how many stroke survivors will experience depression?
what is 33% or 1 in 3 stroke survivors
Bleeding into the brain tissue, often caused by uncontrolled hypertension.
What is intracerebral hemorrhage
Blindness in half of the visual field in one or both eyes.
What is hemianopia
Emergent medication for ischemic stroke that must be given within 4.5hrs of symptom onset.
What is TNK (Tenecteplase)
When a patient displays sign and symptoms of a stroke, this is a lab value that must be done.
What is glucose.
True or False
Post stroke depression can impact a persons functional recovery, cognitive function and increased their risk of dependance.
TRUE
A ruptured intracerebral aneurysm leads to this type of stroke.
What is subarachnoid hemorrhage
Paralysis of one side of the body.
What is hemiplegia
Removal of atherosclerotic plaque or thrombus from the carotid artery to prevent stroke.
What is carotid enterectomy
When ordered in patients with hemorrhagic strokes, what should be applied within the first 24hrs of admission to prevent DVTs
What is Sequential Compression Device (SCD)
What tool is being used at KHSC to screen for post stroke depression?
What is PHQ2/PHQ9.
This medical condition could have the same symptoms of a stroke but the symptoms only last a few minutes to an hour.
What is TIA (transient ischemic attack)
Impaired muscle control or coordination of voluntary movements.
What is ataxia
Name the most important treatment in hemorrhagic strokes.
What is blood pressure control
If used this should be assessed daily and removed as soon as possible to minimize the risk of infection.
What is a foley catheter.
Feeling sad, loss of interest in activities, decreased appetite and or increased in appetite and feeling of anxiety, irritability and or anger could be signs of what?
What is Post Stroke Depression
Patient presenting with aphasia, right hemiparesis, right hemisensory loss, right visual deficit and left gaze deviation.
What is LEFT cerebral hemispheric stroke
This is acronym is used in Canada to raise public awareness of signs & symptoms of a stroke
What is F.A.S.T (Face, Arms, Speech, Time)
Condition that is related to a hypercoagulable state, but can present with intracerebral hemorrhage and is treated with heparinization.
What is venous sinus thrombosis.
In stroke patients, we strive to prevent secondary infections because _________ increases the cerebral metabolic demands which could impair the survival within the ischemic penumbra.
What is Fever.
True or False
The PHQ-2 depression screen is positive indicates that the PHQ-9 does NOT need to be completed.
FALSE
When the PHQ-2 screen is positive the healthcare provider needs to complete the PHQ-9 and arrange follow-up as appropriate.