Headaches
Described as a dull, tight headache
What is a tension headache?
Medical manifestation of a transient ischemic attack.
What is a stroke?
Quick. What does FAST stand for?
What is FACE,ARM,SPEECH & TIME?
Cause for a cerebral aneurysm.
A weak vessel.
A patient with a migraine reports nausea and sensitivity to light. What should the nurse provide? (for each complication)
What is a dark quiet room and an antiemetic.
A throbbing headache associated with nausea and light sensitivity
What is a migrane?
Intervention if symptoms off a TIA disappear or diminish.
What is an emergency evaluation, call 911.
Procedure that checks for bleeding in the brain.
What is a non-contrast CT scan?
Patient with a berry aneurysm now reports having “the worst headache of their life” what may this indicate?
What is a ruptured aneurysm or brain bleed
Reasoning for CT scan before stroke treatment.
What is determining ischemic or hemorrhage origin?
Headache associated with unilateral eye pain with tearing, occurring over 6-8 weeks
What is a cluster headache?
What does a carotid bruit suggest?
What is turbulent blood flow, or possible carotid narrowing.
The proper assessment to be completed before giving food or water after a stroke.
What is a swallowing study ?
Intervention(s) to reduce ICP. Name 3
What is raising the HOB 30°, securing airway, controlling nausea/vomiting, controlling fever, hyper osmotic therapy, reduced stimulation?
The family offers water to test whether the patient patient with an acute stroke is waiting for a swallowing screen. What should you do as the nurse?
What is keeping the patient NPO until screened and cleared and client + family education of orders.
Drug for migraine that is unsafe for patients with coronary artery disease.
What is sumatriptan?
Surgery that removes plaque from the carotid artery.
What is a carotid endarterectomy?
Medical treatment for dissolving a clot in an eligible ischemic attack patient. (Drug category and route of admin)
What are IV thrombolytics?
Procedure that stops blood flow to an aneurysm.
What is a surgical clipping?
Characteristics that increase risks for cerebral aneurysm surgery.
Location and shape of aneurysm, condition of the patient.
Immediate action for a patient reporting an explosive “worse headache ever”.
Call 911, suspected brain bleed.
Patient experiences neck swelling and hoarseness after carotid surgery, what medical emergency does this indicate?
What is a neck hematoma? (obstructing the airway)
A patient has suspected stroke, and the CT Scan reveals bleeding in the brain. Should the patient receive alteplase and why ?
What is NO !? Alteplase is contraindicted in hemorrhagic stroke because it can worsen bleeding.
Sudden visual changes, dizziness, or eye drooping with an aneurysm may indicate this neurological effect.
Pressure being applied to cranial nerves.
Drug therapy for cluster headaches (3)
What are vasoconstricting drugs, corticosteroids and high flow oxygen?